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Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain
INTRODUCTION: Actual coracoclavicular (CC) joint is a rare finding and usually incidental. It is mostly asymptomatic, but few cases have been reported in which there was associated shoulder pain and even brachial plexus neuralgia. It is not to be confused with CC ligament which is a well-known anato...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983370/ https://www.ncbi.nlm.nih.gov/pubmed/36874879 http://dx.doi.org/10.13107/jocr.2022.v12.i10.3364 |
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author | Bansal, Nitish Aggarwal, Saurabh Tiwari, Punit Kaur, Harmeet |
author_facet | Bansal, Nitish Aggarwal, Saurabh Tiwari, Punit Kaur, Harmeet |
author_sort | Bansal, Nitish |
collection | PubMed |
description | INTRODUCTION: Actual coracoclavicular (CC) joint is a rare finding and usually incidental. It is mostly asymptomatic, but few cases have been reported in which there was associated shoulder pain and even brachial plexus neuralgia. It is not to be confused with CC ligament which is a well-known anatomical entity. CASE REPORT: Here, we present a case of symptomatic CC joint treated at our hospital. A 50-year-old man presented to the outdoor patient department of our hospital with a history of acute on chronic pain in the left shoulder. The pain used to be dull/aching, occurring after some activity and usually relieved on rest. On local examination, mild tenderness was present around the coracoid process. The pain was aggravated on flexion and external rotation of the shoulder. X-ray of the shoulder revealed the presence of a CC joint. It was confirmed by non-contrast computed tomography of the shoulder. Ultrasound-guided injection of local anesthetic and steroid was given in the CC joint, providing instant pain relief to the patient. At 1-year follow-up, the patient is asymptomatic and continuing his daily routine activities. CONCLUSION: Although CC Joint is a rare entity, its role in causing symptoms is unrefutable. Conservative treatment should be tried before surgical excision. More awareness regarding this joint and its pathology is required for identification and diagnosis. |
format | Online Article Text |
id | pubmed-9983370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-99833702023-03-04 Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain Bansal, Nitish Aggarwal, Saurabh Tiwari, Punit Kaur, Harmeet J Orthop Case Rep Case Report INTRODUCTION: Actual coracoclavicular (CC) joint is a rare finding and usually incidental. It is mostly asymptomatic, but few cases have been reported in which there was associated shoulder pain and even brachial plexus neuralgia. It is not to be confused with CC ligament which is a well-known anatomical entity. CASE REPORT: Here, we present a case of symptomatic CC joint treated at our hospital. A 50-year-old man presented to the outdoor patient department of our hospital with a history of acute on chronic pain in the left shoulder. The pain used to be dull/aching, occurring after some activity and usually relieved on rest. On local examination, mild tenderness was present around the coracoid process. The pain was aggravated on flexion and external rotation of the shoulder. X-ray of the shoulder revealed the presence of a CC joint. It was confirmed by non-contrast computed tomography of the shoulder. Ultrasound-guided injection of local anesthetic and steroid was given in the CC joint, providing instant pain relief to the patient. At 1-year follow-up, the patient is asymptomatic and continuing his daily routine activities. CONCLUSION: Although CC Joint is a rare entity, its role in causing symptoms is unrefutable. Conservative treatment should be tried before surgical excision. More awareness regarding this joint and its pathology is required for identification and diagnosis. Indian Orthopaedic Research Group 2022-10 2022-10 /pmc/articles/PMC9983370/ /pubmed/36874879 http://dx.doi.org/10.13107/jocr.2022.v12.i10.3364 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bansal, Nitish Aggarwal, Saurabh Tiwari, Punit Kaur, Harmeet Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title | Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title_full | Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title_fullStr | Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title_full_unstemmed | Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title_short | Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain |
title_sort | symptomatic coracoclavicular joint – a case report of an important but lesser known differential diagnosis of shoulder pain |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983370/ https://www.ncbi.nlm.nih.gov/pubmed/36874879 http://dx.doi.org/10.13107/jocr.2022.v12.i10.3364 |
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