What is Acromioclavicular (AC) Joint Osteoarthritis?
The acromioclavicular joint is part of the shoulder joint. It is formed by the union of the acromion, a bony process of the shoulder blade, and the outer end of the collar bone or clavicle. The joint is lined by cartilage that gradually wears with age as well as with repeated overhead or shoulder level activities such as basketball. The condition is referred to as AC arthritis or acromioclavicular arthritis. Osteoarthritis also, called degenerative joint disease, is the most common form of arthritis. It occurs most often in older people. AC joint osteoarthritis affects the tissue coverin the ends of bones (cartilage) in the AC joint of the shoulder. The cartilage becomes damaged and worn out causing pain, swelling, stiffness and restricted movement in the AC joint.
The shoulder joint is made up of a ball and socket joint, where the head of the humerus (upper arm bone) articulates with the socket of the scapula (shoulder blade), which is called the glenoid. The acromioclavicular or AC joint is where the acromion or highest point of the shoulder blade, and the clavicle or collarbone join. The articulating surfaces of the bones are covered with cartilage, which prevents friction between the moving bones, enabling smooth movement. Tendons and ligaments around the shoulder joint provide strength and stability to the joint.
Aging is the most common cause of AC joint osteoarthritis. Other causes include:
- Sports injuries
- Excessive strain to the joint
- Inflammatory arthropathies (inflammation of joint)
- Septic arthritis (bacterial infection)
The symptoms vary with the severity of the damage caused to the cartilage and the physical activity of the patient. Common symptoms may include:
- Localized pain over the anterior part of the shoulder
- Radiating pain towards the upper arm
- Catching sensation and pain while sleeping
- Swelling and tenderness around the joint
Diagnosis of AC joint osteoarthritis includes a review of your symptoms and medical history. A physical examination will be performed by your doctor to check the affected shoulder for pain, swelling, and inflammation. X-ray or MRI scanning may be ordered to view the joint more closely.
Several treatments and lifestyle modifications can help you ease your pain and symptoms. The objective of the treatment is to reduce pain, improve joint movement, and prevent further damage to the joint. The treatment of osteoarthritis involves:
Medications may include different classes such as anti-inflammatory drugs, steroid injections, and other drugs.
Some of the lifestyle modifications include:
- A moderate exercise program
- Use of cold packs to reduce inflammation
- Eating a healthy and well-balanced diet
- Getting adequate rest
- Losing weight
Your physical therapist will teach you exercises to keep your AC joint flexible and improve muscle strength.
Surgery is usually considered if non-surgical treatment fails to provide relief. AC Joint replacement surgery is considered an option when the pain is so severe that it affects your ability to carry out normal activities. In this surgery, the damaged articulating parts of the shoulder joint are removed and replaced with artificial prostheses.