Acromioclavicular Joint Injury Questions & Answers

Updated: Oct 22, 2018
  • Author: Brett D Owens, MD; Chief Editor: Craig C Young, MD  more...
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Questions & Answers

Overview

What are acromioclavicular joint injuries?

What are the treatment options for acromioclavicular joint injury?

What is the anatomy involved in an acromioclavicular joint injury?

What is the pathophysiology of an acromioclavicular joint injury?

How are acromioclavicular joint injuries classified?

What is the Rockwood classification of acromioclavicular joint injuries?

What is the pathophysiology of pediatric acromioclavicular joint injuries?

What is the pediatric Rockwood classification of acromioclavicular joint injuries?

What causes acromioclavicular joint injuries?

What is the prevalence of acromioclavicular joint injury in the US?

What is the prognosis of acromioclavicular joint injuries?

What are possible complications of an acromioclavicular joint injury?

What are possible postoperative complications of acromioclavicular joint injury?

What are possible complications of acromioclavicular joint injury in the presence of arthritis?

What are complications from acromioclavicular joint injuries?

Presentation

Which clinical history is characteristic of an acromioclavicular joint injury?

What are the physical findings suggestive of an acromioclavicular joint injury?

How is acromioclavicular joint pain tested in a physical exam?

How is acromioclavicular joint injury differentiated from other shoulder pathology during physical exam?

DDX

What is included in a shoulder exam for suspected acromioclavicular joint injuries?

What should be included in the differential diagnoses of acromioclavicular joint injury?

What are the differential diagnoses for Acromioclavicular Joint Injury?

Workup

What is the role of radiography in the diagnosis of acromioclavicular joint injury?

Which radiographic findings are diagnostic in the evaluation of acromioclavicular joint injuries?

What imaging findings are characteristic of athletes with a previous history of acromioclavicular joint injury?

How is radiography used to diagnose acromioclavicular joint injury?

How is imaging of the anteroposterior (AP) view performed to evaluate acromioclavicular joint injury?

What is the role of stress radiographs in the diagnosis of an acromioclavicular joint injury?

What is the role of ultrasonography in the evaluation of acromioclavicular joint injury?

What is the role of MRI in the workup of acromioclavicular joint injury?

Treatment

What are the treatment options for acromioclavicular joint injury?

What are conservative treatment options for acromioclavicular joint injury?

What is the role of surgery in the treatment of acromioclavicular joint injury?

What are contraindications to surgery for acromioclavicular joint injury?

What is included in prehospital and emergency department (ED) care of acromioclavicular joint injury?

What are the treatment options for type I and type II acromioclavicular joint injuries?

How are type I acromioclavicular joint injuries treated?

How are type II acromioclavicular joint injuries treated?

When is surgical intervention indicated for type I and type II acromioclavicular joint injuries?

How are type III acromioclavicular joint injuries treated?

When is surgical intervention indicated for type III acromioclavicular joint injuries?

Why is conservative management inadequate for the treatment of type IV-VI acromioclavicular joint injuries?

How are type IV acromioclavicular joint injuries treated?

How are type V and VI acromioclavicular joint injuries treated?

What is the role of physical therapy in the treatment of acromioclavicular joint injuries?

What is the return-to-sports criteria following treatment for acromioclavicular joint injuries?

What is included in long-term monitoring of acromioclavicular joint injuries?

How are acromioclavicular joint injuries prevented?

Medications

What is the role of medications in the treatment of acromioclavicular joint injuries?

Which medications in the drug class Corticosteroids are used in the treatment of Acromioclavicular Joint Injury?

Which medications in the drug class Opioid Analgesics are used in the treatment of Acromioclavicular Joint Injury?

Which medications in the drug class Nonopioid Analgesics are used in the treatment of Acromioclavicular Joint Injury?

Which medications in the drug class Cyclo-oxygenase 2 Inhibitors are used in the treatment of Acromioclavicular Joint Injury?

Which medications in the drug class Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of Acromioclavicular Joint Injury?