Acromioclavicular Joint Flashcards

1
Q

What are the articulating surfaces of the AC joint lined with?

A

Fibrocartilage

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2
Q

What is the articulating disc?

A

A wedge of fibrocartilage suspended from the upper part of the capsule, partially dividing the joint cavity

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3
Q

Where does the articular disc arise from?

A

The loose fibrous layer which encloses the joint- the joint capsule

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4
Q

How is the posterior aspect of the joint capsule reinforced?

A

By fibres from the trapezius muscle

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5
Q

What kind of joint is the AC joint?

A

A synovial joint

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6
Q

What are the ligaments present at the AC joint? (2/3)

A

Acromioclavicular
Conoid
Trapezoid

**conoid and trapezoid can be considered as one= coracoclavicular ligament

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7
Q

What is the acromioclavicular ligament?

A

Ligament running horizontally from the acromion to the lateral clavicle, coves the joint capsule, reinforcing it superior aspect

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8
Q

What is the conoid ligament?

A

Ligament running vertically from the coracoid process of the scapula to the conoid tubercle of the clavicle

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9
Q

What is the trapezoid ligament?

A

Ligament running from the coracoid process of the scapula to the trapezoid line of the clavicle

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10
Q

What does the coracoclavicular ligament (conoid + trapezoid ligaments ) do?

A

Effectively suspends the weight of the upper limb from the clavicle

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11
Q

Is the movement of the AC joint passive or active, why?

A

Passive, it is secondary to other movements because there are no muscles moving the joint directly

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12
Q

What are the two arterial blood supplies to the AC joint?

A
Suprascapular artery (arising from the subclavian artery at the thyrocervical trunk)
Thoraco-acromial artery (arises from the axillary artery)
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13
Q

What nerves innervate the AC joint?

A

Suprascapular and lateral pectoral nerves (arising from brachial plexus)

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14
Q

What is another name for acromioclavicular joint dislocation?

A

Separated shoulder

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15
Q

What is an AC joint dislocation associated with?

A

Soft tissue damage at the joint

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16
Q

What happens if the coracoclavicular ligament is torn after an AC joint dislocation?

A

The weight of the upper limb is not supported and the shoulder moves inferiorly, meaning the clavicle is increasingly prominent

17
Q

What are the treatments for an AC joint dislocation?

A

Can range from ice and rest to ligament reconstruction surgery

18
Q

What type of synovial joint is the acromioclavicular joint?

A

Plane joint

19
Q

How might acromioclavicular osteoarthritis be treated?

A

By taking out some of the clavicle

20
Q

How might someone present with a acromioclavicular osteoarthritis?

A

High painful arc

Tender joint