{"id":14450,"date":"2023-03-13T15:20:16","date_gmt":"2023-03-13T15:20:16","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=14450"},"modified":"2024-12-27T09:45:20","modified_gmt":"2024-12-27T09:45:20","slug":"acromioclavicular-joint-disorders","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/shoulderelbow\/acromioclavicular-joint-disorders\/","title":{"rendered":"Acromioclavicular joint disorders"},"content":{"rendered":"\n<p>Acromioclavicular disorders- Considerations relating to diagnosis<br><br>Link to NICE CKS 2017 definitions and diagnostic considerations here;<br><a href=\"https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub<\/a><br><br>Link to NICE CKS 2017 osteoarthritis here;<br><a href=\"https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario<\/a><br><br>Acomioclavicular osteoarthritis<br>Acromioclavicular joint injury<br><br>Key points from the above documents (not exhaustive)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ACJ osteoarthritis is more common than GHJ OA, but is often asymptomatic&nbsp;<\/li>\n\n\n\n<li>Usually in people &gt;60&nbsp;<\/li>\n\n\n\n<li>Localised tenderness over the ACJ, typically made worse by raising the arm and arm across body movements&nbsp;<\/li>\n\n\n\n<li>ACJ injuries most common in men aged 20-50, usually resulting from a fall onto the point of the shoulder during sporting activity&nbsp;<\/li>\n\n\n\n<li>Numerous classifications including- grade grade I- intact joint with minor tear of ACJ ligaments, grade II- upto 50% vertical subluxation of the clavicle with complete rupture of the acromioclavicular and stretching of the coracoclavicular ligaments, Grade III- more than 50% vertical subluxation of the clavicle with complete rupture of the acromioclavicular and the coracoclavicular ligaments&nbsp;<\/li>\n\n\n\n<li>May be localised ACJ tenderness, limited range of movement due to pain, high arc pain, positive cross arm test, asymmetry of the shoulder contour<\/li>\n<\/ul>\n\n\n\n<p><strong>M.A. &amp; P.A. 13-03-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Acromioclavicular disorders- Considerations relating to diagnosis Link to NICE CKS 2017 definitions and diagnostic considerations here;https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub Link to NICE CKS 2017 osteoarthritis here;https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario Acomioclavicular osteoarthritisAcromioclavicular joint injury Key points from the above documents (not exhaustive) M.A. &amp; P.A. 13-03-23<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4425,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[903],"class_list":["post-14450","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-acromioclavicular-joint-disorders"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/shoulder-elbow\/https-apps-nhslothian-scot-refhelp-acromioclavicular-joint-disorders\/\" rel=\"tag\">Acromioclavicular joint disorders<\/a>","rttpg_excerpt":"Acromioclavicular disorders- Considerations relating to diagnosis Link to NICE CKS 2017 definitions and diagnostic considerations here;https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub Link to NICE CKS 2017 osteoarthritis here;https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario Acomioclavicular osteoarthritisAcromioclavicular joint injury Key points from the above documents (not exhaustive) M.A. &amp; P.A. 13-03-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=14450"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14450\/revisions"}],"predecessor-version":[{"id":22145,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14450\/revisions\/22145"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4425"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=14450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=14450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}