Enfermedad acromioclavicular en el paciente joven

Abstract

Acromioclavicular joint disease is a common source of shoulder pain. Post-traumatic sequelae are the most frequent conditions in young patients, although the incidence of distal clavicular osteolysis is increasing. Overuse of the joint and repeated micro-trauma produce subchondral fractures and subsequent osteolysis. The diagnosis is clinical, with compatible imaging studies and a positive response to an anaesthetic injection into the joint. The majority of patients respond to conservative management. Arthroscopy is the gold standard technique for resection of the distal portion of the clavicle in refractory cases.