Symptomatic coracoclavicular joint: incidence, clinical significance and available management options

Autor: Ravi Pandit, Ravi Trehan, Pankaj K Singh, Simon Thompson, Vipul R. Patel, Vinay Kumar Singh
Rok vydání: 2011
Předmět:
Zdroj: International Orthopaedics. 35:1821-1826
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-011-1309-4
Popis: Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with the symptomatic variety remaining an exceptional rarity. Our aim was to review all reported symptomatic CCJ to increase the level of evidence and formulate a treatment algorithm to aid clinicians in management planning.A thorough literature search was performed, and data from 17 (n = 17) symptomatic cases of CCJ were analysed.CCJ is a rare finding and mostly an incidental discovery, which is rarely symptomatic. However, when symptomatic, the most common symptom is shoulder pain. The mean age at presentation is 42 years, with a male:female ratio of 1.4:1. Brachial plexus involvement was the most common pathophysiological explanation provided. First-line treatment was conservative, with a very low success rate of 5.9%. Surgical intervention in the form of excision of anomalous joint by osteotomy had success rate of 100%.Symptomatic CCJ is rare, and its rarity leads to lack of awareness in the general orthopaedic community. When symptomatic, CCJ may lead to delayed diagnosis or inappropriate management due to lack of evidence and poor description in most orthopaedic textbooks. Despite its low success rate, conservative treatment is advocated before embarking upon surgical intervention.
Databáze: OpenAIRE
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