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Acromioclavicular impingement

Discussion in 'Shoulder articles library' started by Josephine, Apr 5, 2018.

  1. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator
    Thread Starter

    Member Since:
    Jun 8, 2007
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    A very common cause of shoulder pain is impingement. This is where there is a narrowing of the space between the acromioclavicular (ac) joint and the top of the joint which at that point is covered by the rotator cuff, specifically the supraspinatous ligament. This is often worse then the arm is brought up into adduction so the humerus is brought into contact with the ac joint.

    impingement 3.JPG

    It can also be made worse by the development of bone spurs on the underside of the ac joint which may or may not be associated with arthritis.

    Treatments may include
    1. pain killers such as acetaminophen
    2. injections of Methylprednisolone, a synthetic form of corticosteroids
    3. arthroscopic acromioplasty
    4. an Inspace device which relieves the contact between the two surfaces
    acromioplasty 1.jpg
    #3

    inspace shoulder device.png
    #4
     

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