Skip to main content

Disorders of the AC Joint and Suprascapular Nerve Compression Syndrome

  • Chapter
  • First Online:
MRI-Arthroscopy Correlations

Abstract

Acromioclavicular (AC) joint pathology can range from an acute AC joint separation to distal clavicle osteolysis to AC joint arthritis. Traumatic separations of the AC joint are classified based on ligamentous injuries and the relationship between the positions of the distal clavicle and the acromion. Management of AC joint separations can be controversial, with many different techniques available for operative treatment. AC joint arthritis and distal clavicle osteolysis are often appreciated on MRI by increased signal in the AC joint and treated with distal clavicle excision. Suprascapular nerve compression at the suprascapular notch can present with vague shoulder pain and be diagnosed with MRI showing mass lesion, atrophy of supraspinatus and infraspinatus, and EMG. Operative treatment includes arthroscopic decompression by releasing the transverse scapular ligament.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26(1):137–44.

    Article  CAS  Google Scholar 

  2. Frank RM, Cotter EJ, Leroux TS, Romeo AA. Acromioclavicular joint injuries: evidence-based treatment. J Am Acad Orthop Surg. 2019;27(17):E775–88.

    Article  Google Scholar 

  3. Moen TC, Babatunde OM, Hsu SH, Ahmad CS, Levine WN. Suprascapular neuropathy: what does the literature show? J Shoulder Elb Surg. 2012;21(6):835–46.

    Article  Google Scholar 

  4. Allman FL. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49(4):774–84.

    Article  Google Scholar 

  5. Gerber C, Rockwood CA. Subcoracoid dislocation of the lateral end of the clavicle. A report of three cases. J Bone Joint Surg Am. 1987;69(6):924–7.

    Article  CAS  Google Scholar 

  6. Petri M, Warth RJ, Greenspoon JA, et al. Clinical results after conservative management for grade III acromioclavicular joint injuries: does eventual surgery affect overall outcomes? Arthroscopy. 2016;32(5):740–6.

    Article  Google Scholar 

  7. Dias JJ, Steingold RF, Richardson RA, Tesfayohannes B, Gregg PJ. The conservative treatment of acromioclavicular dislocation. Review after five years. J Bone Joint Surg Br. 1987;69(5):719–22.

    Article  CAS  Google Scholar 

  8. Smith TO, Chester R, Pearse EO, Hing CB. Operative versus non-operative management following Rockwood grade III acromioclavicular separation: a meta-analysis of the current evidence base. J Orthop Traumatol. 2011;12(1):19–27.

    Article  Google Scholar 

  9. Li X, Ma R, Bedi A, Dines DM, Altchek DW, Dines JS. Management of acromioclavicular joint injuries. J Bone Joint Surg Am. 2014;96-A(1):73–84.

    Article  Google Scholar 

  10. Amendola NA, Richmond J, Sgaglione NA. Chapter 27, Arthroscopic suprascapular nerve release. In: Barber FA, Bynum JA, editors. Operative arthroscopy. Philadelphia: Lippincott, Williams, & Wilkins; 2012. p. 318–26.

    Google Scholar 

  11. Lubahn JD, Cermak MB. Uncommon nerve compression syndromes of the upper extremity. J Am Acad Orthop Surg. 1998;6(6):378–86.

    Article  CAS  Google Scholar 

  12. Boykin RE, Friedman DJ, Zimmer ZR, Oaklander AL, Higgins LD, Warner JP. Suprascapular neuropathy in a shoulder referral practice. J Shoulder Elb Surg. 2011;20(6):983–8.

    Article  Google Scholar 

  13. Strauss EJ, Kingery MT, Klein D, Manjunath AK. The evaluation and management of suprascapular neuropathy. J Am Acad Orthop Surg. 2020;28(15):617–27.

    PubMed  Google Scholar 

  14. Polguj M, Sibiński M, Grzegorzewski A, Grzelak P, Majos A, Topol M. Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment. Int Orthop. 2013;37(11):2185–92.

    Article  Google Scholar 

  15. Shubin Stein BE, Ahmad CS, Pfaff CH, Bigliani LU, Levine WN. A comparison of magnetic resonance imaging findings of the acromioclavicular joint in symptomatic versus asymptomatic patients. J Shoulder Elb Surg. 2006;15(1):56–9.

    Article  Google Scholar 

  16. Wee TC, Wu CH. Ultrasound-guided aspiration of a paralabral cyst at the spinoglenoid notch with suprascapular nerve compressive neuropathy. J Med Ultrasound. 2018;26(3):166–7.

    Article  Google Scholar 

  17. Memon M, Kay J, Ginsberg L, et al. Arthroscopic management of suprascapular neuropathy of the shoulder improves pain and functional outcomes with minimal complication rates. Knee Surg Sports Traumatol Arthrosc. 2018;26(1):240–66.

    Article  CAS  Google Scholar 

  18. Song T, Yan X, Ye T. Comparison of the outcome of early and delayed surgical treatment of complete acromioclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc. 2016;24:1943–50.

    Article  Google Scholar 

  19. McDonald CM, Carter GT, Fritz RC, Anderson MW, Abresch RT, Kilmer DD. Magnetic resonance imaging of denervated muscle: comparison to electromyography. Muscle Nerve. 2000;23(9):1431–4.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua S. Dines .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cash, B.M., Eliasberg, C.D., Dines, J.S. (2022). Disorders of the AC Joint and Suprascapular Nerve Compression Syndrome. In: Werner, B.C. (eds) MRI-Arthroscopy Correlations. Springer, Cham. https://doi.org/10.1007/978-3-030-94789-7_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-94789-7_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94788-0

  • Online ISBN: 978-3-030-94789-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics