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Doctor insights on: Degenerative Changes Of The Acromioclavicular Joint

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What does mild hypertrophic changes of the acromioclavicular joint mean also no outlet stenosis mean?

What does mild hypertrophic changes of the acromioclavicular joint mean also no outlet stenosis mean?

Degenerative changes: It sounds like degenerative changes or arthritic changes of the joint (the joint that joins collar bone with acromion or prominence of the shoulder). No outlet stenosis means, there is no pinching or narrowing of a space. I am not sure if they are referring to another part of body, since the term applies to the openings in the joint or tissue that allows passage of nerves and blood vessels. ...Read more

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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How could I cure dislocation of the acromioclavicular joint?

How could I cure dislocation of the acromioclavicular joint?

You can't: Ac joint dislocations are graded in severity and range from spraining the joint without dislocation to complete dislocations. There is no way to relocate the joint and have it stay reduced without surgical repair or reconstruction of the ligaments that hold the joint together. This isn't always necessary and your orthopaedic surgeon can tell you the pluses and minuses of surgery vs no surgery. ...Read more

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What rehabilitative exercises help a acromioclavicular joint separation?

What rehabilitative exercises help a acromioclavicular joint separation?

Rest: Acromioclavicular injuries involve mostly ligaments that hold and suspend the shoulder. Those ligaments cannot really be rehabilitated like muscles. They mostly require a period of rest. Some acromioclavicular injuries will involve other parts of the shoulder, and those can improve with shoulder blade exercises such as rowing and pulling. ...Read more

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How much of acromioclavicular joint be decompressed/resection at the most without having the joint instability?

How much of acromioclavicular joint be decompressed/resection at the most without having the joint instability?

About 5mm of bone: Routinely the end of the clavicle can be removed back to the capsular insertion which is usually about 5mm of bone removal. The posterosuperiror aspect of the capsule is the most important portion to retain in order to maintain acromioclavicular joint/space stability ...Read more

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I had an X-ray of the shoulder. Results were moderate to advanced into joint disease of the left acromioclavicular joint. What does this mean?

I had an X-ray of the shoulder. Results were moderate to advanced into joint disease of the left acromioclavicular joint. What does this mean?

That's the only thng: All that means is that u have arthritic change in the ac joint. If no other findings, if this is symptomatic a simple ac resection will take care of the problem. This will b of help only if this is very symptomatic ; ur only complaint. B sure u r not missing anything else in the image findings. ...Read more

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How can I get over a dislocation of the acromioclavicular joint?

How can I get over a dislocation of the acromioclavicular joint?

Typically 4-6 weeks: An ac sprain takes about 4-6 weeks to heal
depending on the severity of the sprain
the milder ones heal in 2-3 weeks.
The most severe ones takes 6-8 weeks
some of the most severe may need surgical
treatment. ...Read more

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I had a cortisone shot in my acromioclavicular joint yesterday. It is more painful than I started with. Is it normal? Acromioplasty in Nov, 2016.

I had a cortisone shot in my acromioclavicular joint yesterday. It is more painful than I started with. Is it normal? Acromioplasty in Nov, 2016.

Not unusual: That is not terribly uncommon. The antiinflammatory component of the shot should start taking affect over the next 1-2 days and hopefully will provide some relief soon. I would let your doctor know. ...Read more

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What rehabilitative exercises can be done with an acromioclavicular joint separation?

What rehabilitative exercises can be done with an acromioclavicular joint separation?

Shldr muscle rehab: Acromioclavicular joint separations can be acutely painful. Motion and strengthening of the shoulder girdle muscles can advance as tolerated, usually under the guidance of a physical therapist. ...Read more

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Wcapsular distention causes moderate deformity of the cranialfibers ofthe supraspinatus moderate cartilage loss at the acromioclavicular joint meaning?

It sounds like there: Is fluid in the joint which is distended. This in turn pushes up on the supraspinatus & deforms it or makes it bow upwards. @ the, level of its attachment @ the humoral head. Mod cart loss @ AC joint means there's arthritis there, or could also B from infection or inflammation. ...Read more

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I have pain in acromioclavicular joint, trapezius tendon area along with pain on side of arm where deltoid and trapezius after workout?

I have pain in acromioclavicular joint, trapezius tendon area along with pain on side of arm where deltoid and trapezius after workout?

Bursitis or strain: You may be straining your rotator cuff during your workout or you might be experiencing bursitis. I would decrease the weight on you lateral fly and slow down when doing shoulder shrugs. Also if you increased you routine either in reps or weight you may want to scale back and increase more gradually. ...Read more

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Shoulder pain acromioclavicular joint with pins and needles in ring and little finger. No injury but pain unbearable? Cause

F sounds neurologic: The sales neurologic. Around the acromioclavicular joint there are nerve brachioplexus and also cervical nerves. This corresponds to around C7. Ask your physician to have you see a neurologist ...Read more

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Sternal end of clavicle is grinding after acromioclavicular joint decompression. Tender only when I move the arm certain ways? What could it be wrong?

Sternal end of clavicle is grinding after acromioclavicular joint decompression. Tender only when I move the arm certain ways? What could it be wrong?

Inflammation: It depends on how long ago your AC joint decompression was. If the surgery was recently, it may be irritated/inflamed from surgery (positioning?) or from certain rehab exercises or overcompensation to protect AC joint. If the surgery was several months/years ago, there could be a small cartilage injury or some arthritis in the SC joint. This joint can become lax and get excess motion too. ...Read more

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What sort of problem is an acromioclavicular (ac) joint separation?

What sort of problem is an acromioclavicular (ac) joint separation?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

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How to treat separated shoulder (ac joint)?

How to treat separated shoulder (ac joint)?

Depends on severity: Ac joint separation treatment depends on the severity of the injury. Treatment ranges from a sling for mild injuries up to requiring surgery for the most severe injuries. You should have a doctor evaluate the injury to determine the best course of treatment. ...Read more

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After a grade 2 or 3 AC joint widening, there is visual deformity on my right shoulder. What are my options for getting it back to normal?

After a grade 2 or 3 AC joint widening, there is visual deformity on my right shoulder. What are my options for getting it back to normal?

Surgery: Surgery is indicated for pain and dysfunction. Rarely for cosmetic considerations as you trade off a bump (deformity) for a scar. Having said that, there are two ligaments called the conoid and the trapezoid that are ruptured in grade 3 ac separation. They can be surgically reconstructed using allograft (cadaver) tissue or autograft (your own) tissue. Anatomic reconstructions restore both ligaments and is done in an open fashion. Single bundle reconstructions can be done arthroscopically. Sports medicine orthopedic surgeons usually perform this operation. ...Read more

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Separated shoulder (ac joint), treatment?

Separated shoulder (ac joint), treatment?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

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What all happens in shoulder-ac joint surgery?

What all happens in shoulder-ac joint surgery?

AC joint surgery: In ac joint surgery the clavicle is secured to the coracoid process of the scapula to decrease the separation of the ac joint. A graft is frequently used to reconstruct the torn coracoclavicular ligaments. ...Read more

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What can I expect in the recovery of a separated shoulder/ac joint?

It depends.: Most AC sprains (types 1, 2, 3) are treated effectively without surgery and athletes return to competition within 1-6 weeks depending injury severity. Types 2 and 3 result in mild to moderate prominence of the distal clavicle. A small percentage of types 1, 2, and 3 require surgery for persistent or late onset symptoms. Some type 3 and all severe (type 4, 5, 6) require early surgery. ...Read more

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Is it possible that a torn rotator cuff cause other injuries within the shoulder such as: separated shoulder (ac joint)?

Is it possible that a torn rotator cuff cause other injuries within the shoulder such as: separated shoulder (ac joint)?

Possibly related: Questioner asks if rotator cuff ; acromialclavicular (ac) joint injuries are related. These are two separate injuries of contiguous tissues. Significant mechanical trauma can cause injury to both structures, but not common. Ac joint separation observed grossly as superior projection of distal clavicle relative to acromion ; palpation of ac joint is painful. Mri necessary to visualize rotator tear. ...Read more

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8 weeks post shoulder cortisone still painful and now physio feels AC joint is involved he mobilsed it now v painful to move what can I do?

8 weeks post shoulder cortisone still painful and now physio feels AC joint is involved he mobilsed it now v painful to move what can I do?

Further dx studies: If you have undergone 8 weeks of a comprehensive conservative treatment program for your shoulder and still having pain further diagnostic studies are likely warranted. Conservative treatment typically includes non-steroidal anti-inflammatory, physical therapy, avoidance of aggravating activities and possibly a cortisone injection. Further diagnostic studies may include a ultrasound or mri. ...Read more

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I tore my AC joint in my shoulder and still get a sharp pain when I rotate my shoulder should I return for a X-ray or try some sort rehabilitation?

I tore my AC joint in my shoulder and still get a sharp pain when I rotate my shoulder should I return for a X-ray or try some sort rehabilitation?

AC joint: If you re still having pain or limited motion I would recommend that you followup with othopaedic surgeon. The problem could stem from ac joint or coiuld be rotator cuff. Before you stay on than process it is helpful to have correct diagnosis. ...Read more

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Can you tell me about AC joint shoulder surgery on the side with lymphedema?

Can you tell me about AC joint shoulder surgery on the side with lymphedema?

Should be ok: Much depend on how long you have had the lymphedema. Better if is chronic than acute. What stage the lymphedema is 1-4. Lower is better. How well it is managed around the surgery with compression, massage etc. If all these things are optimized if should be ok. ...Read more

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Could I get surgery on my shoulder at the AC joint as the top joining bone is rasied up and causes abit of pain while in use?

How Long?: If you haven't had this pain very long and haven't suffered any significant injury, it may be a strain of your ac joint (where the collarbone meets the shoulder blade). Often avoiding activities that cause the pain for a while will result in improvement. If you have had pain and trouble for some time, I would recommend you see a shoulder specialist. ...Read more

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600lb shrugs. C5, C6 herniated. Shoulder is unstable and painful. What type of shoulder injury could it be, excluding nerves? Ac joint? Thanks.

600lb shrugs. C5, C6 herniated. Shoulder is unstable and painful. What type of shoulder injury could it be, excluding nerves? Ac joint? Thanks.

AC joint: Likely an ac joint problem, but could be pain radiating down from neck or internal joint pain in shoulder due to labrum or rotator cuff. Would suggest evaluation by an orthopedic surgeon in your area. ...Read more

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My right shoulder bone (AC joint) sticks out further than my left. Noticed a few months ago, but maybe its been longer? No pain. Could this be serious?

AC joint: The shape of the AC joint varies significantly among people. Some can have very prominent joints, while others have smoother appearing joints. There can be differences in one side compared to the other as well. This is especially true if there was a previous injury to the AC joint. If there is no pain, there is unlikely any serious problem. ...Read more

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I fell on my shoulder. The bone is protruding up. Mild offset of the AC joint by 0.9cm seen on XR. What is the typical treatment? Hurts to move

I fell on my shoulder. The bone is protruding up. Mild offset of the AC joint by 0.9cm seen on XR. What is the typical treatment? Hurts to move

AC Separation: This is a low grade, grade 2 shoulder separation. Treatment is shoulder sling, ice 20 minutes 4 times per day, pain control, full exam by Orthopaedic Surgeon to rule out other injuries, and Physical Therapy.

https://www. Thesteadmanclinic. Com/patient-education/shoulder/ac-separation ...Read more