2 Acromioclavicular Joint Pathology Flashcards
What is typical AC joint pathology
AKA shoulder separation
most common injuries in athletes
Usually from trauma or fall into arm with shoudler ABducted
More likely in men
(not same as dislocation)
Which types are common and not common in Rockwood classification
Common: Type I II III
4 5 6 not as common
What is the clinical examination life for AC joint pathology?
pt usually in arm adducted and supported in position to help with pain management
pain/tenderness at AC joint region (palpation)
Swelling in area of AC joint with acute injuries
Type 3 4 5 = STEP Deformiity
What is the typical movement pattern of a patient with AC pathology?
Painful arc in abduction more than flexion (between 170-180 deg)
Pain with horizontal adduction
Strength: Weakness of shoulder muscles due to pain and stress of aC joint region
What is the test Item cluster for AC joint pathology?
- Crossover (crossbody) test
- Resisted Extension (horizontal abduction) test
- Obriens test
What is management for Type I and II AC?
Non surgical
RICE first 2-3 days
Short term sling immobilization until pain is normal (2 days - 2 weeks for type I), (3 weeks for type II)
Gentle ROM + muscle activation
progress when pain inproces
What is management for Type III AC joint?
Depends for surgery
- surgery recomended typically
- Longer immobilization due to sugery
Similar rehab to type I and II
What is management of Type IV to VI for AC pathology?
4 and 6 are RARE
Surgery indicated
Immobilzation for 6 weeks
pain releive interventions
regain ROM and strength
return to function in about 6 months
