Numerous Occurrence of Arthritis of the Acromioclavicular Articulation

Arthritis of the acromioclavicular articulation is quite usual even if it  does not seem so. Because the acromioclavicular joint is often affected at the basic rheumatoid affection rheumatoid arthritis. Arthritis of the acromioclavicular articulation is possible also at all the other rheumatoid diseases. Symptoms of arthritis are at the same time similar to the ones at an affection in the area of acromioclavicular articulation, which is not inflammatory, i.e. resting pains, pains during moving and a restriction of the extension of a movement, therefore we cannot determine a diagnosis on the basis of these symptoms. At most of rheumatoid affections1, with the exception of rheumatoid arthritis, this articulation is affected separately, the examination of the patient does not show us other swollen joints, which could bring us to a diagnosis of rheumatoid etiology. We often met the finding of arthritis, it means synovitis in the area of the acromioclavicular articulation, also in the case of X-ray finding of arthrosis of this articulation. Then we are not able to judge if this synovitis belongs to the picture of arthrosis, or if it is rather a manifestation of rheumatoid affection. Then a consequential reality is the fact that the impigement syndrome was often connected with arthrosis and synovitis of the acromioclavicular articulation. Also the affection of the acromioclavicular articulation, after more serious traumas of the shoulder girdle, was frequent.

From the examining techniques it is necessary to direct an attention to the meaning of the ultrasound examination which is able to find synovitis in the acromioclavicular articulation as a bulge of the articular capsule towards the second side.

 

1type of  seronegative spondarthritides of matutinal type