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SHOULDER PAIN: INVOLVEMENT OF THE ACROMIOCLAVICULAR JOINT

(ANALYSIS OF 1,000 CASES)

PETER ZANCA M.D.1

1 Professor and Chairman, Department of Radiology.

The incidence of pathology in the "forgotten" acromioclavicular joint in patients with shoulder pain is higher than generally realized.

With a high index of suspicion for pathology in the acromioclavicular articulation, and adding acromioclavicular roentgenographic films to the usual shoulder joint roentgenograms, more pathology will be demonstrated.

In this series of cases, there was pathology in the acromioclavicular joint in 12.7 per cent of the patients, as compared with 20 per cent with shoulder joint disease. In all patients with positive roentgen findings, tendinitis calcarea accounted for 46 per cent of the pathology and acromioclavicular arthritis accounted for 35.6 per cent of all of the pathology.


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