Acromioclavicular osteoarthritis and shoulder pain: a review of the role of ultrasonography

Precerutti, M.; Formica, Manuela; Bonardi, Mara; Peroni, Caterina; Calciati, Francesco

doi:10.1007/s40477-020-00498-z

Cited by 14 publications

(13 citation statements)

References 24 publications

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“…ACJ OA is more prevalent than glenohumeral OA in the elderly population [25] and can contribute to shoulder pain independently of glenohumeral joint disease. One of mechanisms by which ACJ pathology can cause shoulder pain and dysfunction is through RTC impingement [26], though we note that there was no significant association between ACJ OA grade and RTC tears in our primary OA cohort. Also notable was that patients in our cohort received corticosteroid injections into the glenohumeral joint and not the ACJ; therefore, unalleviated ACJ-related pain could have contributed to the faster progression of symptoms among primary OA patients.…”

Section: Discussioncontrasting

confidence: 67%

Factors impacting time to total shoulder arthroplasty among patients with primary glenohumeral osteoarthritis and rotator cuff arthropathy managed conservatively with corticosteroid injections

Shankar

Mojica

Colasanti

et al. 2023

Clin Shoulder Elbow

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Background: The purpose of this study was to identify predictors of the time from initial presentation to total shoulder arthroplasty (TSA) in patients with primary glenohumeral osteoarthritis (OA) and rotator cuff (RTC) arthropathy who were conservatively managed with corticosteroid injections.Methods: We conducted a retrospective cohort study of patients who underwent TSA from 2010 to 2021. Kaplan-Meier survival analysis was used to estimate median time to TSA for primary OA and RTC arthropathy patients. The Cox proportional hazards model was used to identify significant predictors of time to TSA and to calculate hazard ratios (HRs) with 95% confidence intervals (CIs). Statistical significance was set at P<0.05.Results: The cohort included 160 patients with primary OA and 92 with RTC arthropathy. In the primary OA group, median time to TSA was 15 months. Significant predictors of shorter time to TSA were older age at presentation (HR, 1.02; 95% CI, 1.00–1.04; P=0.03) and presence of moderate or severe acromioclavicular joint arthritis (HR, 1.45; 95% CI, 1.05–2.01; P=0.03). In the RTC arthropathy group, median time to TSA was 14 months, and increased number of corticosteroid injections was associated with longer time to TSA (HR, 0.87; 95% CI, 0.80–0.95; P=0.003).Conclusions: There are distinct prognostic factors for progression to TSA between primary OA patients and RTC arthropathy patients managed with corticosteroid injections. Multiple corticosteroid injections are associated with delayed time to TSA in RTC arthropathy patients.

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Section: Discussioncontrasting

confidence: 67%

Factors impacting time to total shoulder arthroplasty among patients with primary glenohumeral osteoarthritis and rotator cuff arthropathy managed conservatively with corticosteroid injections

Shankar

Mojica

Colasanti

et al. 2023

Clin Shoulder Elbow

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“…It is also often associated with distal clavicular osteolysis [3]. Although frequently overlooked [35], the prevalence of AC joint OA on MRI has been reported to be as high as 68% in patients aged 30 years or less, and up to 93% in patients older than 30 years [11, 44]. However, most of the time it is asymptomatic or causes mild localised discomfort, becoming severe in only 5% of cases, without significant difference between the two sexes [44].…”

Section: Introductionmentioning

confidence: 99%

No differences between conservative and surgical management of acromioclavicular joint osteoarthritis: a scoping review

Soler-Romagosa¹,

Mocini

Djemeto

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose To conduct a scoping review to clarify the management of acromioclavicular joint osteoarthritis, as well as to identify any existing gaps in the current knowledge. Methods Studies were identified by electronic databases (Ovid, Pubmed) from their inception up to April 2nd, 2020. All studies reporting functional outcomes after conservative or surgical treatment of acromioclavicular joint osteoarthritis, either primary or secondary to trauma or distal clavicle osteolysis, were included. Following data were extracted: authors, year of publication, study design (prospective or retrospective), LOE, number of shoulders treated conservatively or surgically, patients' age, OA classification, type of conservative treatment, surgical approach, surgical technique, functional outcomes, complications, revisions, and length of follow-up. Descriptive statistics was used. Quality appraisal was assessed through the Cochrane risk of bias tool for LOE I/II studies, while the MINORS checklist was used for LOE III/IV studies. Results Nineteen studies were included for a total of 861 shoulders. Mean age of participants was 48.5 ± 7.4 years. Mean follow-up was 43.8 ± 29.9 months. Four studies reported functional results after conservative treatment, whereas 15 studies were focused on surgical management. No studies directly compared conservative and surgical treatment. Seven studies reported a surgical approach after failure of previous conservative treatment. All studies reported functional improvement and pain relief. Complication rate was low. Overall methodological quality of included studies was very low. Conclusion Conservative and surgical treatments are both effective in acromioclavicular joint osteoarthritis management. However, available data did not allow to establish the superiority of one technique over another. Level of evidence Level IV.

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“…Injuries and damages of the clavicular-acromial joint requiring treatment are quite common in medical practice. 1,2 The clavicular-acromial joint is a diarthrodial joint that is formed by the distal clavicle and the medial facet of the acromion. The articular surfaces of the clavicle and acromion are covered with hyaline cartilage.…”

Section: Introductionmentioning

confidence: 99%

Results of treatment of arthrosis of the acromial-clavicular joint in patients with partial rupture of the supraspinatus muscle tendon

et al. 2021

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Introduction: Very often, partial tear tendons of the superficial shoulder muscle are combined with arthrosis of the clavicular-acromial joint. This is due to violations of the shoulder-patch rhythm, which in turn leads to a chronic overload of the clavicular-acromial joint and the progression of arthrosis in this joint. Aim: The purpose of the study is to improve the results of treatment of patients with injuries of the supraspinatus tendon against the background of deforming arthrosis of the clavicular-acromial joint. Material and methods: For the study a clinical group was assembled, which consisted of 84 patients with injuries of the tendon of the supraspinatus and deforming arthrosis of the clavicular-acromial joint 3–4 parts. All patients, depending on the treatment, were divided into two groups. Results and discussion: The consequences and influence of the arthrosis of the clavicular-acromial joint were determined. Movements of the joint were examined. The shoulder joint function was under control in the post-surgery period, which provided particular results and conclusions according to the comparative analysis of the two groups. Conclusions: Based on the provided results, it can be concluded that deforming arthrosis of the clavicular acromial joint can cause contracture in the shoulder joint in patients after the suture of the tendon of the abdominal muscle.

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Acromioclavicular osteoarthritis and shoulder pain: a review of the role of ultrasonography

Cited by 14 publications

References 24 publications

Factors impacting time to total shoulder arthroplasty among patients with primary glenohumeral osteoarthritis and rotator cuff arthropathy managed conservatively with corticosteroid injections

Factors impacting time to total shoulder arthroplasty among patients with primary glenohumeral osteoarthritis and rotator cuff arthropathy managed conservatively with corticosteroid injections

No differences between conservative and surgical management of acromioclavicular joint osteoarthritis: a scoping review

Results of treatment of arthrosis of the acromial-clavicular joint in patients with partial rupture of the supraspinatus muscle tendon

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