| Autor: |
Taranu, Razvan, Feary, Joy, DuFosse, Julian W. B., Bayliss, Neil C. |
| Předmět: |
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| Zdroj: |
Shoulder & Elbow; 2010, Vol. 2 Issue 3, p156-160, 5p |
| Abstrakt: |
Background We wish to demonstrate that osteoarthritis of the sternoclavicular joint can be a cause of tertiary subacromial impingement as a result of decreased motion of the clavicle. Materials We present a series of five patients with tertiary subacromial impingement caused by stiffness of the sternoclavicular joint. All five patients attended our upper limb clinic with what appeared to be subacromial impingement. Close examination revealed that they had an inability to shrug the affected shoulder as a result of reduced mobility of the sternoclavicular joint caused by osteoarthritis. None of the patients had symptoms localized to the sternoclavicular joint itself. After appropriate investigation, four patients underwent excision of the medial end of the clavicle and one responded well to physiotherapy. Results All patients regained full shoulder movements and resolution of the subacromial impingement pain. Discussion We recommend that the 'shrug test' should be part of routine shoulder examination so that sternoclavicular joint pathology can be recognized at an early stage and acted on appropriately. We conclude that subacromial impingement can be caused by impaired clavicle rotation as a result of osteoarthritic changes in the sternoclavicular joint. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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