Acromio-Clavicular Joint (ACJ) Arthritis

 

Mechanism/Injury:              

General wear and tear or injury of the collar bone joint (ACJ)

Above shoulder height and repetitive activities

Genetics, Sporting Activities, Work related, Age Related Change

Often found in conjunction with shoulder impingement

                                               

Symptoms:                           

Pain felt at the end of the collar bone

Pain down into upper arm on raising arm forwards or sideways

Pain on top of the shoulder on using the arm across the front of the body

Pain on lying on arm in bed, disturbed sleep

 

Investigations:                     

X-Ray, Ultrasound scan, MRI scan

 

Treatment options:             

Pain killers

Physiotherapy

Injections (steroid/cortisone)

Arthroscopic/Key hole surgery (see Subacromial Decompression and Arthroscopic Excision of ACJ )