How do you treat distal clavicle osteolysis?
Distal clavicle osteolysis is initially treated conservatively with rest, restriction of movement, and ice application over the AC joint. 1 Any activity associated with the injury should be stopped. If there is severe pain, the shoulder may need to be held in a fixed position with an orthopedic sling.
Does distal clavicle osteolysis heal on its own?
Weight training, intensive lifting, and operating an air hammer are examples of the activities leading to acute distal clavicular osteolysis. There is evidence that the body tries to heal itself but the bone dissolves or is resorbed by the body instead.
What is clavicle osteolysis?
Distal clavicle osteolysis is the painful development of bony erosions and resorption of the distal clavicle caused by repetitive trauma to the AC joint.
How do you treat osteolysis?
The diagnosis of distal clavicle osteolysis can be usually made by physical examination, although imaging tests may be used to confirm the diagnosis or rule out other causes of shoulder pain. The good news is that treatment is usually straightforward – ice, rest, taking an anti-inflammatory, and physical therapy.
Is osteolysis serious?
This may require a revision surgery (replacement of the prosthesis). Although osteolysis itself is clinically asymptomatic, it can lead to implant loosening or bone breakage, which in turn causes serious medical problems.
Does osteolysis cause pain?
There are no symptoms of osteolysis. Pain happens as osteolysis begins to affect tissue around or your bones, or your bones break.
How to tell if you have distal clavicle osteolysis?
The most common symptom is a sharp or aching pain at the junction of the acromioclavicular joint (AC joint) and collarbone. While the pain is usually felt during activity, there may also be a persistent tenderness around the joint during non-activity. Inflammation and swelling are also common manifestations.
When to have an arthroscopic distal clavicle excision?
Arthroscopic versus open distal clavicle excision is indicated for patients with persistent symptoms that have failed nonoperative treatment. (OBQ08.250) A 31-year-old professional bodybuilder reports right shoulder pain with cross-body adduction as well as point tenderness at the acromioclavicular joint.
How does the bench press help distal clavicle?
Modification of the bench press is a way to avoid undo stress on the distal clavicle during hyper-extension of the shoulder. Not only does this help alleviate symptoms, but it also allows the weight-lifter to return to weight training activities. The main idea is to prevent the elbows from descending beyond the level of the AC joint.
What causes pain in the distal clavicle of the shoulder?
It would be similar in appearance to osteoporosis, a condition where more bone is absorbed by the body than created. Alternately, a magnetic resonance imagining (MRI) scan may be ordered if a doctor suspects other causes of shoulder pain, either in addition to or separate from the suspected distal clavicle osteolysis.