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OA of Acromioclavicular Joint



Referrals for USS guided steroid injections to RCHT Clinical Imaging have restarted.  Please note there is limited capacity so referrals should be reserved for patients with significant disabling and persistent symptoms.  Please click here for full details


Covid-19 Update: Corticosteroid Injections During The Coronavirus Pandemic 

Please note that any patients considering steroid injections during the Coronavirus pandemic require a risk assessment and counselling on increased risks with Covid prior to performing.  Secondary care referrals for steroid injection, including image guided injections, require the patient to be counselled and risk assessed prior to referral and this documented in the referral.  Please see guidance available here for detailed information.




Primary Care Management

  • Appropriate tailored analgesia
  • Acromioclavicular Joint Steroid injection

 

MSK Interface

Please note an X ray within 6 months is required prior to referral

  • Diagnostic uncertainty
  • Conservative measures have failed.  Patient not responding to appropriate tailored analgesia.  L

Exclusion Criteria

  • Red flag pathology
  • Severe symptoms with functional limitations and willingness for surgery
  • Previous joint replacement or significant major surgery to the same joint
  • Patients under 16 years
  • Hand and foot problems
  • Multiple/inflammatory arthropathy
  • Lumps, bumps, ganglia

 

Orthopaedic Referral

Advanced osteoarthritis causing significant pain localised to the acromioclavicular joint not responding to appropriate tailored analgesia

AND willing to consider surgical intervention

Please note an X ray within 6 months is required prior to referral

 

Patient Information Leaflets

Arthritis Research UK Shoulder Pain Leaflet http://www.arthritisresearchuk.org/arthritis-information/conditions/shoulder-pain.aspx

 

References

 

  1. BESS/BOA Patient Care Pathways Frozen Shoulder, Shoulder & Elbow 2015; 7(4) 299-307
  2. National Institute Of Clinical Excellence.  Clinical Knowledge Summaries Shoulder Pain, April 2017
  3. Cornwall Mobility.  How We Help At Home http://www.cornwallmobility.co.uk/how-we-help/at-home/

 

 

Date reviewed                     11/03/2022

Next review due                  11/03/2023

Sifter name                          Dr Rebecca Hopkins

Contributors                         Dr Rebecca Hopkins, Dr Natalie Dawes, Dr Barrie Phypers, Jane Mitchell, Mr Mark Norton 

 

 

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