Procedure
Acromioclavicular Joint Injection
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Acromioclavicular Joint Injection
, AC Joint Injection
See also
Shoulder Injection
Glenohumeral Joint Injection
Subacromial Space Injection
Long Head of Biceps Injection
Scapulothoracic Injection
Joint Injection
Injectable Corticosteroid
Indications
Osteolysis of distal clavicle
Osteoarthritis
Preparation
Needle: 25-27 gauge, 1 to 1.5 inch
Intraarticular
Corticosteroid
Methylprednisolone
: 0.25 - 0.50 ml of 40 mg/ml or
Betamethasone
(Celestone Soluspan): 0.25 to 0.50 ml
Lidocaine
1%: 0.5 ml
Patient positioning
Patient sits with arm resting at side
Shoulder
externally rotated
Approach
Images
Landmarks: Identify AC joint
Palpate clavicle to distal aspect
Slight depression where clavicle meets acromion
Injected with sterile technique
Insert needle from anterior and superior approach
Direct needle inferiorly
References
Pfenninger (1994) Procedures, p. 1036-54
Larson (1996) Am Fam Physician 53(5):1637-43 [PubMed]
Tallia (2003) Am Fam Physician 67(6):1271-8 [PubMed]
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