Symptoms of all the
pathological processes in the area of the acromioclavicular articulation are
essentially analogous. A local pain, which emanates in a distal direction, rises
so our patient often has pains in the area of an attachment of
m. deltoideus. Pains are permanently there, and they get worse at
palpation of the articulation. The patient is very often surprised when he/she
finds a local soreness of the acromioclavicular articulation during the
examination. In the area of the acromioclavicular articulation there can be an
oedema and an effusion of soft tissues, but with regarding to the size of the joint and anatomical
rates it is very rare. During the examination of active and passive movements
the patient complaints of a painful elevation in flexion and abduction.
Sometimes there is a slight restriction of the extension of movements, but we do
not meet a big restriction of movements at the affection of the
acromioclavicular articulation.
videosequence of scarf symptom
At rheumatoid affections there
is again a morning stiffness, pains during lying on the affected side. Similarly
the impigement syndrome can occur.
The impigement syndrome, in our opinion, is inducted very often by an
enlargement of the acromioclavicular articulation as an osseous part of the
acromioclavicular articulation (described in the X-ray as osteoarthritis), or synovitis
of the articular capsule of the acromioclavicular
articulation.