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Wheeless' Textbook of Orthopaedics
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The acromioclavicular joint in rheumatoid arthritis


Petersson-CJ Clin-Orthop. 1987 Oct(223): 86-93 The acromioclavicular (AC) joint was clinically and roentgenographically examined in 49 rheumatic patients with painful shoulders. Clinically, the AC joint was tender and painful in about one-third of the shoulders. Roentgenographically, AC changes were encountered in 85% of the shoulders. The AC joint destruction was frequently associated with the glenohumeral joint disease. There was a time-dependent progression of subchondral bone erosion, tapering, and osteolysis of the acromial end of the clavicle corresponding to the duration and/or severity of the rheumatoid disease.



Original Text by Clifford R. Wheeless, III, MD.