Ac Joint Normal Space
Inferior plane of the distal clavicle should be on same plane as inferior border of.
Ac joint normal space. Ac joint space 5 mm. 5 8 mm narrower in the elderly. 50 difference in size between the two shoulders is considered significant. Ac joint normal width of ac joint in adults is 1 3mm.
By age 60 width is often less than 1mm. The acromioclavicular joint acj is a plane synovial joint diarthrodial joint of the pectoral girdle. The ac gap is 5 mm. Widening of the acromioclavicular joint normal.
Plain radiograph true ap shoulder r. Measurement the shortest distance is measured. Since there are no muscles that act directly on this joint the movements within it are entirely passive. Grade ii is a partial dislocation of the ac joint with a complete disruption tear of the ac joint and a partial disruption of coracoclavicular ligament.
5 8 mm narrower in the elderly. If the joint is normal then acromioclavicular alignment should remain normal and symmetric. Right and left should differ by 5 mm alyas et al radiographics2008. Grades i and ii never require surgery and heal by themselves though physical therapy may be required.
Right and left should differ by 5 mm. May be the only finding in type i injuries. It is a multiaxial joint allowing the movements in the three. Acromiohumeral interval is a useful and reliable measurement on ap shoulder radiographs and when narrowed is indicative of rotator cuff tear or tendinopathy.
Comparison to opposite cc joint space is more important increase in cc distance of 25 50 indicates complete cc ligament disruption. Acromial shape bigliani classification subacromial enthesophyte keeled acromion spur might be a risk factor for full. Coracoclavicular distance usually 11 13 mm. Radio accepted 17 xi 82 graphy an early sign of osteoarthrosis is a reduced joint space.
Normal measurements do not rule out pathology and must be considered in the context of other findings and the clinical presentation. Cc joint normal distance is 11 13mm. The acromioclavicular ac joint is the articulation between the two bones of pectoral girdle. Children and adolescents have a slightly wider joint space.
Ac joint space is usually 5mm. Features of acromioclavicular joint injury include 6. Normal radiographic measurements of the shoulder are important in evaluation of the osseous relationships in plain film radiography. The clavicle and scapula it is a plane synovial joint with flat articular surfaces which are approximately the same in size.
Oppenheimer 1943 and zanca 1971 stated that the normal acromioclavicular joint space in an adult is 1 3 mm wide. Right and left differ by no more than 2 3 mm. Right and left ac differ by no more than 2 3 mm.