Abstract
Acromioclavicular (AC) joint pain is a common shoulder problem that can often be effectively treated by resecting the distal end of the clavicle.1–3 Because AC joint pathology often occurs in association with other shoulder disorders, resection not uncommonly accompanies other procedures.1,4 In cases of isolated AC joint pathology unresponsive to nonoperative treatment, open or arthroscopic techniques are both effective operative strategies. Quantitative comparisons have demonstrated that an adequate amount of bone resection can be achieved by either arthroscopic or open means.5,6 The direct “superior” and indirect “bursal” approaches are the two main options for arthroscopic AC joint resection.
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Recommended Reading
Branch TP, Burdette HL, Shahriari AS, Carter FM II, et al. The role of the acromioclavicular ligaments and the effect of distal clavicle resection. Am J Sports Med 1996: 24: 293–297.
Cook FF, Tibone JE. The Mumford procedure in athletes: an objective analysis of function. Am J Sports Med 1988; 16: 97–100.
Flatow EL, Cordasco FA, Bigliani LU. Arthroscopic resection of the outer end of the clavicle from a superior approach: a critical, quantitative, radiographic assessment of bone removal. Arthroscopy 1992; 8 (1): 55–64.
Post M, Flatow EL, Bigliani LU, Pollock RG. The Shoulder: Operative Technique. Baltimore: Williams and Wilkins, 1998: 239–241.
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Miller, S.L., Stein, K.S., Flatow, E.L. (2003). Acromioclavicular Resection: Direct “Superior” Approach. In: Shoulder Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21689-8_23
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DOI: https://doi.org/10.1007/978-0-387-21689-8_23
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-2972-3
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