Acromioclavicular joint injury Flashcards Preview

Z My Ortho Upper Limb > Acromioclavicular joint injury > Flashcards

Flashcards in Acromioclavicular joint injury Deck (12):
1

Hx

16 yr old boy severe pain over R AC joint after rugby tackle this morning, fell on outstretched r hand, pain with movement of r arm

2

look/ inspect

deformity [lump palpated/ visualised over AC joint
tenting of skin - impending open fracture

3

feel

tenderness over AC joint

4

active and passive movement

reduced ROM R shoulder due to pain

5

resisted movement

pain with resisted movements

6

special tests

scarf test positive

7

other tests

upper limb neuro exam
vascular assessment upper limb

8

why is AC joint sprain likely?

typical hx and exam findings, lump/ tenderness over the clavicle, reduced ROM of shoulder

9

DDx

AC joint subluxation/dislocation - need to rule out with imaging

10

investigations

x-ray of clavicle/AC joint

11

non-op tx

sling with ROM exercises 2-4 wks later
analgesia, paracetamol + NSAIDS
physio

12

op tx

if coracoclavicular ligaments are disrupted