Ac Joint Ultrasound Pathology
This topic will review the evaluation and management of ac joint disorders.
Ac joint ultrasound pathology. Ultrasound is useful in detecting acromioclavicular pathologies in cases of trauma inflammations and degenerative changes. Alasaarela e 1 tervonen o takalo r lahde s suramo i. Musculo skeletal joints and tendons i shoulder i 6 1 7 rotator cuff. The above cases are not the same patient but similar tendonopathy.
To describe the sonographic findings of acromioclavicular joint. Acromioclavicular joint injuries are characterized by damage to the acromioclavicular joint and surrounding structures. Acromioclavicular joint pathology ultrasound can assist with the assessment of patients with acromioclavicular joint osteoarthritis sprains periarticular cysts and distal clavicular osteolysis. Ultrasound guided corticosteroid injections are diagnostic and therapeutic.
Partial supraspinatus ruptures images here have been flipped to better demonstrate the same tendon direction. Ultrasound evaluation of the acromioclavicular joint. Anterior suraspinatus partial tear. Ac joint injuries represent nearly half of all athletic shoulder injuries often resulting from a fall on to the tip of the shoulder with the arm in adduction or a direct blow to the acromion with the humerus adducted as in collision in high impact contact sports injury may occur as a consequence of throwing sports or chronic.
The examination requires attention to technique and appropriate patient positioning. Ac joint pain can be secondary to a specific injury from repetitive minor trauma or as part of the aging process. Abstract acromioclavicular ac joint pathology can be divided into conditions that cause pain or conditions of instability that may cause pain or compromise function. 1 department of internal medicine university of oulu finland.
To evaluate the value of ultrasonography in assessing arthritic acromioclavicular ac joints. An ultrasound guided ac joint corticosteroid injection may be an appropriate new standard for treatment and surgical decision making. Ultrasound of the shoulder is a fast relatively cheap and dynamic way to examine the rotator cuff and is particularity useful in diagnosing. Ac joint injuries are discussed separately.
In these instances it is of benefit to proceed with procedural tests to evaluate ac joint pathology. Acromioclavicular joint disruption mechanism of injury. The supraspinatus tendon has been partially torn as referenced here at ultrasoundcases info. Ac joint disorders from overuse inflammation or chronic degeneration can be more difficult to diagnose particularly if concomitant shoulder problems exist.