Skip to main content
SpringerLink
Log in

Arthroscopic Distal Clavicle Resection: The “Indirect” Subacromial Approach

  • Chapter
Shoulder Arthroscopy

  • 416 Accesses

Abstract

The acromioclavicular (AC) joint, a common source of discomfort in the shoulder, can be affected by a variety of disorders including osteoarthritis, posttraumatic arthritis, and distal clavicle osteolysis. Conservative management of these conditions with activity modification and medication are often successful in relieving the pain. When nonoperative management fails, the orthopedic surgeon must consider distal clavicle resection.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mumford EB. Acromioclavicular dislocation-a new treatment. J Bone joiint Surg 1941; 23: 799–802.

    Google Scholar 

  2. Gurd FB. The treatment of complete dislocation of the outer end of the clavicle. Ann Surg 1941; 113: 1094–1098.

    Article  PubMed  CAS  Google Scholar 

  3. Corso SJ, Furie E. Arthroscopy of the acromioclavicular joint. Orthop Clin North Am 1995; 26: 661–670.

    PubMed  CAS  Google Scholar 

  4. Henry MH, Liu SH, Loffredo AJ. Arthroscopic management of the acromioclavicular joint disorder. A review. Clin Orthop 1995; 316: 276–283.

    PubMed  Google Scholar 

  5. Thomdike A, Quigley TB. Injuries to the acromioclavicular joint: a plea for conservative treatment. Am J Surg 1942; 55: 251–261.

    Google Scholar 

  6. Horvath F, Kery L. Degenerative deformations of the acromioclavicular joint in the elderly. Arch Gerontol Geriatr 1984; 3: 259–265.

    Article  PubMed  CAS  Google Scholar 

  7. DePalma AF. The role of the disks of the sternoclavicular and the acromioclavicular joints. Clin Orthop 1959; 13: 222–233.

    Google Scholar 

  8. Shaffer BS. Painful conditions of the acromioclavicular joint. J Am Acad Orthop Surg 1999; 6: 176–188.

    Google Scholar 

  9. Flatow EL, Duralde XA, Nicholson GP, Pollock RG, Bigliani LU. Arthroscopoic resection of the distal clavicle with a superior approach. J Shoulder Elbow Surg 1995; 4: 41–50.

    Article  PubMed  CAS  Google Scholar 

  10. Blazar PE, Iannotti JP, Williams GR. Anteroposterior instability of the distal clavicle after distal clavicle resection. Clin Orthop 1998; 348: 114–120.

    PubMed  Google Scholar 

  11. Zanca P. Shoulder pain: involvement of the acromioclavicular joint. Analysis of 1,000 cases. AJR Am J Roentgenol 1971; 112: 493–506.

    CAS  Google Scholar 

  12. Cahill BR. Osteolysis of the distal part of the clavicle in male athletes. J Bone Joint Surg Am 1982: 64: 1053–1058.

    PubMed  CAS  Google Scholar 

  13. Fiorella D, Helms CA, Speer KP. Increased T2 signal intensity in the distal clavicle: incidence and clinical implications. Skeletal Radiol 2000; 29: 697–702.

    Article  PubMed  CAS  Google Scholar 

  14. Snyder SJ, Banas MP, Karzel RP. The arthroscopic Mum-ford procedure: an analysis of results. Arthroscopy 1995; 11: 157–164.

    Article  PubMed  CAS  Google Scholar 

  15. Kay SP, Ellman H, Harris E. Arthroscopic distal clavicle excision. Technique and early results. Clin Orthop 1994; 301: 181–184.

    PubMed  Google Scholar 

  16. Gartsman GM. Arthroscopic resection of the acromioclavicular joint. Am J Sports Med 1993; 21: 71–77.

    Article  PubMed  CAS  Google Scholar 

  17. Auge WK II, Fischer RA. Arthroscopic distal clavicle resection for isolated atraumatic osteolysis in weight lifters. Am J Sports Med 1998; 26: 189–192.

    PubMed  Google Scholar 

  18. Martin SD, Baumgarten TE, Andrews RJ. Arthroscopic resection of the distal aspect of the clavicle with concomitant subacromial decompression. J Bone Joint Surg Am 2001; 83: 328–335.

    Article  PubMed  Google Scholar 

  19. Levine WN, Barron OA, Yamaguchi K, Pollock RG, Fla-tow EL, Bigliani LU. Arthroscopic distal clavicle resection from a bursal approach. Arthroscopy 1998; 14: 5256.

    Google Scholar 

  20. Fischer BW, Gross RM, McCarthy JA, Arroyo JS. Incidence of acromioclavicular joint complications after arthroscopic subacromial decompression. Arthroscopy 1999; 15: 241–248.

    Article  PubMed  CAS  Google Scholar 

  21. Berg EE, Ciullo W. The SLAP lesion: a cause of failure after distal clavicle resection. Arthroscopy 1997; 13: 8589.

    Google Scholar 

  22. Neer CS II: Shoulder Reconstruction. Philadelphia: WB Saunders; 1990; 433–436.

    Google Scholar 

  23. Tolin BS, Snyder SJ. Our technique for the arthroscopic Mumford procedure. Orthop Clin North Am 1993; 24: 143–151.

    PubMed  CAS  Google Scholar 

  24. Jerosch J, Steinbeck J, Schroder M, Castro WHM. Arthroscopic resection of the acromioclavicular joint (ARAC). Knee Surg Sports Traumatol Arthrosc 1993; 1: 209–215.

    Article  PubMed  CAS  Google Scholar 

  25. Berg EE, Ciullo JV. Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elbow Surg 1995; 4: 188–193.

    Article  PubMed  CAS  Google Scholar 

Recommended Reading

  • Bell RH. Arthroscopic distal clavicle resection. Instr Course Lect 1998; 47: 35–41.

    PubMed  CAS  Google Scholar 

  • Bergfeld JA, Andrish JT, Clancy WG: Evaluation of the acromioclavicular joint following first and second degree sprains Am J Sports Med 1978; 6: 153–159.

    Article  PubMed  CAS  Google Scholar 

  • Bigliani LU, Nicholson GP, Flatow EL. Arthroscopic resection of the distal clavicle. Orthop Clin North Am 1993; 24: 133–141.

    PubMed  CAS  Google Scholar 

  • Branch TP, Burdette HL, Shahriari AS, Carter FM 2nd, Hutton WC. The role of the acromioclavicular ligaments and the effect of distal clavicle resection. Am J Sports Med 1996; 24: 293–297.

    Article  PubMed  CAS  Google Scholar 

  • Buford D Jr, Mologne T, McGrath S, Heinen G, Snyder S. Midterm results of arthroscopic co-planing of the acromioclavicular joint. J Shoulder Elbow Surg 2000; 9: 498–501.

    Article  PubMed  Google Scholar 

  • Cook FF, Tibone JE. The Mumford procedure in athletes: an objective analysis of function. Am J Sports Med 1988; 16: 97–100.

    Article  PubMed  CAS  Google Scholar 

  • Cox JS. The fate of the acromioclavicular joint in athletic injuries. Am J Sports Med 1981; 9: 50–53.

    Article  PubMed  CAS  Google Scholar 

  • Eskola A, Santavirta S, Viljakka HT, Wirta J, Partio TE, Hoikka V. The results of operative resection of the lateral end of the clavicle. J Bone joint Surg Am 1997; 79: 633–634.

    Article  Google Scholar 

  • Fukuda K, Craig EV, An KN, et al. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am 1986; 68: 434–440.

    PubMed  CAS  Google Scholar 

  • Gartsman GM, Combs AH, Davis PF, Tullos HS. Arthroscopic acromioclavicular joint resection. An anatomical study. Am J Sports Med 1991; 19: 2–5.

    Article  PubMed  CAS  Google Scholar 

  • Klimkiewicz JJ, Williams GR, Sher JS, Karduna A, Des Jardins J, Iannotti JP. The acromioclavicular capsule as a restraint to posterior translation of the clavicle: a biomechanical analysis. J Shoulder Elbow Surg 1999; 8: 119–124.

    Article  PubMed  CAS  Google Scholar 

  • Lee KW, Debski RE, Chen CH, Woo SL, Fu FH. Functional evaluation of the ligaments at the acromioclavicular joint during anteroposterior and superoinferior translation. Am J Sports Med 1997; 25: 858–862.

    Article  PubMed  CAS  Google Scholar 

  • Matthews LS, Parks BG, Pavlovich LJ Jr, Giudice MA. Arthroscopic versus open distal clavicle resection: a biomechanical analysis on a cadaveric model. Arthroscopy 1999; 15: 237–240.

    Article  PubMed  CAS  Google Scholar 

  • Novak PJ, Bach BR Jr, Romeo AA, Hager CA: Surgical resection of the distal clavicle. J Shoulder Elbow Surg 1995; 4: 35–40.

    Article  PubMed  CAS  Google Scholar 

  • O’Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 1998; 26: 610–613.

    PubMed  Google Scholar 

  • Petersson CJ. Resection of the lateral end of the clavicle. A 3-to 30-year follow-up. Acta Orthop Scand 1983; 54: 904–907.

    Article  PubMed  CAS  Google Scholar 

  • Zawadsky M, Marra G, Wiater JM, Levine WN, Pollock RG, Flatow EL, Bigliani LU. Osteolysis of the distal clavicle: long-term results of arthroscopic resection. Arthroscopy 2000; 16: 600–605.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Robert Sellards
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Augustus D. Mazzacca
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Anthony A. Romeo
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Sellards, R., Mazzacca, A.D., Romeo, A.A. (2003). Arthroscopic Distal Clavicle Resection: The “Indirect” Subacromial Approach. In: Shoulder Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21689-8_22

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-21689-8_22

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-2972-3

  • Online ISBN: 978-0-387-21689-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation