Casuistry of Luxation of the Acromioclavicular Articulation

A patient comes when he has one month lasting pains in his shoulder which came to an existence  after the fall on the shoulder, and pains began at the same time  with a loud rupture. From that time a motility is restricted. He cannot sleep at night. Regarding to anamnesis of the injury the second day after his injury  the patient is sent to undergo X-ray examination. A conclusion from the X-ray examination: a normal finding on the shoulder. With regarding to this fact, the patient is let on NSA, and he comes with the same problems to the rheumatoid outpatient department one month later.

Ultrasound Examination Finding.

At the examination a normal rotator cuff is found, and the long head of the biceps is in a norm, in the axillary section without any liquid, pathology found on the acromioclavicular articulation.

 

 blecX.jpg (114260 bytes)

picture and scheme of luxation of the acromioclavicular articulation where the dehiscence of the acromion and the clavicle is seen

 blenoX.jpg (85056 bytes)

picture and scheme on the healthy side by the same patient where the dehiscence of the acromion and the clavicle is not present

 

 blecsrX.jpg (80083 bytes)

picture and scheme of the healthy and the affected side by the same patient

 

Objective Finding  

akrolux.jpg (20360 bytes)

picture luxation of the acromioclavicular articulation (left shoulder) where step deformity is seen