Distal Clavicle Osteolysis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Distal Clavicle Osteolysis, Diagnosis and Treatment and Related Diseases
Distal clavicle osteolysis is the shoulder joint pain at the end of the clavicle (collarbone) that is the result of bone disintegration and injury.
It is an overuse collarbone damage often observed in weightlifters.
The most frequent symptom is a sharp or aching pain at the junction of the acromio-clavicular joint (AC joint) and clavicle (collarbone).
While the pain is normally felt during activity, there may also be a continual tenderness around the joint during non-activity.
The inflammation and swelling are also frequent presentations.
The diagnosis of distal clavicle osteolysis can normally be made by physical examination, even though imaging tests may be done to confirm the diagnosis or exclude other causes of shoulder pain.
The good news is that treatment is normally straightforward: RICE rest, ice, compression, elevation, taking an anti-inflammatory and physical therapy.
In some patients, surgery may be required.
Distal clavicle osteolysis is produced by repetitive stress and micro-fracture in distal clavicle which also induces osteopenia
Incidence
Distal clavicle osteolysis patients are mainly in their 20s, mainly male, often seen in weightlifters
Distal clavicle osteolysis is regarded as an overuse injury produced by repeated micro-fractures that the body attempts to repair.
With each micro-fracture, the remodeling of bone becomes more rough and uneven, producing stress on the end of the clavicle and inducing the deterioration of cartilage on the adjacent AC joint where the clavicle attaches to the shoulder blade.
Frequent Causes
Distal clavicle osteolysis is observed most often in weightlifters or other athletes who execute heavy bench presses for a long period of time.
Besides weightlifters, anyone who often lifts objects overhead (tennis players, swimmers) and lifts heavy objects (construction workers, military workers) can develop distal clavicle osteolysis.
Rarer Causes
Much less often, distal clavicle osteolysis happens from direct trauma to the collarbone, like from a fall or direct blow.
The typical pain is located at distal clavicle and anterior superior shoulder
It is gradual in onset.
It is aggravated by repetitive loading (i.e. bench press or push-ups)
On physical palpation, there is tenderness felt at the distal end of clavicle and AC joint
Physical Examination
Pain when reaching across the chest is a normal symptom of AC joint disorders.
Doctors can confirm this by doing a cross-body adduction test that acts as a provocative test
Any pain caused by pressing the arm laterally across the chest is indicated a positive result.
The stability of the AC joint will also be evaluated.
This is performed by holding the distal collarbone between the thumb and forefinger and then moving the clavicle (collarbone) in different directions (forward, backward, up, and down), while stabilizing the acromion (a bone projection on the shoulder blade) with the other hand.
Similar to AC joint arthritis, the shoulder joint may need to be assessed, as people with distal clavicle osteolysis normally keep a full range of motion of their shoulder.
With a suspected AC joint disorder, the doctor may order an AC injection test, often done under the guidance of a computed tomography (CT) scan.
If a person feels temporary pain relief after the steroid is injected, the injection test confirms the diagnosis of AC joint pain.
The doctor may also order blood tests, particularly if he suspects a possible infection or that an inflammatory process is going on.
TABLE OF CONTENT
Introduction
Chapter 1 Distal Clavicle Osteolysis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chap
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Distal Clavicle Osteolysis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Distal Clavicle Osteolysis,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2019 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Distal Clavicle Osteolysis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Distal Clavicle Osteolysis)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Distal clavicle osteolysis
What is Distal clavicle osteolysis?
Distal clavicle osteolysis is the shoulder joint pain at the end of the clavicle (collarbone) that is the result of bone disintegration and injury.
It is an overuse collarbone damage often observed in weightlifters.
The most frequent symptom is a sharp or aching pain at the junction of the acromio-clavicular joint (AC joint) and clavicle (collarbone).
While the pain is normally felt during activity, there may also be a continual tenderness around the joint during non-activity.
The inflammation and swelling are also frequent presentations.
The diagnosis of distal clavicle osteolysis can normally be made by physical examination, even though imaging tests may be done to confirm the diagnosis or exclude other causes of shoulder pain.
The good news is that treatment is normally straightforward: RICE rest, ice, compression, elevation, taking an anti-inflammatory and physical therapy.
In some patients, surgery may be required.
Pathophysiology
Distal clavicle osteolysis is produced by repetitive stress and micro-fracture in distal clavicle which also induces osteopenia
Incidence
Distal clavicle osteolysis patients are mainly in their 20s, mainly male, often seen in weightlifters
Risk factors
1. History of previous traumatic injuries
What are the causes of Distal clavicle osteolysis?
Causes
Distal clavicle osteolysis is regarded as an overuse injury produced by repeated micro-fractures that the body attempts to repair.
With each micro-fracture, the remodeling of bone becomes more rough and uneven, producing stress on the end of the clavicle and inducing the deterioration of cartilage on the adjacent AC joint where the clavicle attaches to the shoulder blade.
Frequent Causes
Distal clavicle osteolysis is observed most often in weightlifters or other athletes who execute heavy bench presses for a long period of time.
Besides weightlifters, anyone who often lifts objects overhead