Patología degenerativa de la articulación acromioclavicular

Alberto Marqués Rapela
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引用次数: 1

Abstract

Acromioclavicular osteoarthritis is a common cause of pain in the anterior part of the shoulder joint, particularly when crossing the arms above the head.

It usually appears in middle-aged men and women, and the suspected diagnosis is based on clinical history and physical examination. The complementary tests and proper and complete therapeutic response to an injection with corticosteroid /anaesthetic solutions confirms their diagnosis.

The instability of this joint is one of the conditions to consider in the differential diagnosis as it presents with a similar clinical picture and similar findings in the physical examination.

There are several treatment options, although initial treatment should be conservative. If there is no clinical response, surgical treatment will be indicated by open or arthroscopic resection of the joint. Meticulous surgical technique in both cases will minimise potential complications and improve the degree of clinical and functional recovery of the patient.

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肩锁关节的退行性病理
肩锁骨关节炎是肩关节前部疼痛的常见原因,特别是当交叉手臂在头部以上时。多见于中年男女,根据临床病史和体格检查进行疑似诊断。补充试验和注射皮质类固醇/麻醉溶液的适当和完全的治疗反应证实了他们的诊断。该关节的不稳定性是鉴别诊断中要考虑的条件之一,因为它具有相似的临床表现和相似的体格检查结果。有几种治疗选择,虽然最初的治疗应该是保守的。如果没有临床反应,手术治疗将通过开放或关节镜切除关节。在这两种情况下,细致的手术技术将最大限度地减少潜在的并发症,提高患者的临床和功能恢复程度。
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