Acromioclavicular (AC) Joint Arthritis
The acromioclavicular (AC) joint is where the collarbone (clavicle) meets the shoulder blade (acromion). Like any joint in the body, it can develop arthritis, causing localised pain and tenderness that is often distinct from other types of shoulder pain.
What is AC Joint Arthritis?
AC joint arthritis involves the wearing away of the cartilage within the AC joint, leading to bone-on-bone contact, inflammation, and pain. It may develop as a result of wear and tear over time, or following a previous AC joint injury. It is particularly common in people who perform a lot of overhead activity or heavy lifting.
Diagnosis
Clinical examination typically allows AC joint arthritis to be distinguished from other shoulder conditions. X-rays demonstrate arthritic changes.
Symptoms
Pain localised to the top of the shoulder, directly over the AC joint
Tenderness on direct pressure over the joint
Pain with reaching across the body (cross-body adduction)
Discomfort with overhead activities
Treatment Options
Non-Surgical Treatment
Activity modification and physiotherapy
Anti-inflammatory medication
Corticosteroid injection into the AC joint, often providing excellent relief
Surgical Treatment: Arthroscopic Distal Clavicle Excision
Where symptoms are persistent and injection therapy has provided only temporary relief, Mr Adam can offer arthroscopic excision of the distal clavicle.
A small amount of bone is removed from the end of the collarbone arthroscopically, eliminating the painful bone-on-bone contact. This is a day-case keyhole procedure with a good success rate.
Contact Us
07521544473
Nuffield Health York Hospital
Haxby Road, York, YO31 8TA
Clifton Park Hospital (Ramsay) York
Bluebeck Drive, Shipton Road, York, YO30 5RA