Osteoarthritis - Shoulder Flashcards
1
Q
What joint in the shoulder is usually affected by OA
A
Acromioclavicular joint
2
Q
What are the causes of AC joint OA
A
Injury
Repetitive overuse
Primary - rarely
3
Q
What are the clinical features of AC joint OA
A
Localised tenderness
Obvious prominence of the joint from osteophyte formation
Pain worse at night
Cross-adduction (scarf test) worsens pain
4
Q
What are some other differentials for localised tenderness at the ACJ
A
Bursitis
Tendonitis
Referred pain from cervical spondylosis
Pain from irritation of nerve roots referred from neck to shoulder
5
Q
How do you manage a patient with OA of the ACJ
A
Non-surgical:
Physiotherapy
Analgesia
Surgical:
Excision of the distal end of the clavicle - severe cases