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The joints of the shoulder girdle 

The joints of the shoulder girdle
Chapter:
The joints of the shoulder girdle
Author(s):

John Tanner

DOI:
10.1093/med/9780199674107.003.0030
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date: 24 May 2019

This chapter describes acromioclavicular joint dysfunction and injury and adhesive capsulitis (frozen shoulder). The acromioclavicular joint is as prone to develop degenerative changes as other weightbearing joints. In most patients, osteoarthrosis does not cause symptoms, but an injury or repetitive trauma may cause the joint to become symptomatic. People who report a high exposure to physical workload and/or intense sporting activity are more prone to develop osteoarthritis of this joint. On examination, passive adduction will provoke the pain, which does not radiate down the arm, and direct pressure applied digitally over the joint will also locate tenderness. If the symptoms are mild, reduction of workload and/or aggravating sporting activity, together with the use of topical non-steroidal anti-inflammatory (NSAID) gels or oral NSAIDs may settle the problem. If the symptoms are more severe, then a local joint injection with a small dose of corticosteroid settles the pain very effectively.

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