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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References
Mumford EB. Acromioclavicular dislocation: a new operative treatment. J Bone Joint Surg 1941; 23: 799–801.
Neer CS. Shoulder Reconstruction. Philadelphia: WB Saunders; 1990;433–436.
Petersson J. Resection of the lateral end of the clavicle. Acta Orthop Scand 1983; 54: 904–907.
Ellman H. Arthroscopic subacromial decompression: analysis of one to three year results. Arthroscopy 1987; 3: 173–181.
Gartsman GM, Combs AH, Davis PF, et al. Arthroscopic acromioclavicular joint resection: an anatomical study. Am J Sports Med 1991; 19: 2–5.
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.
Johnson LL. Diagnostic and Surgical Arthroscopy. St. Louis: CV Mosby; 1981.
Urist M. Complete dislocation of the acromioclavicular joint: the nature of the lesion and effective methods of treatment with an analysis of 41 cases. J Bone Joint Surg 1946; 28: 13.
Cook FF, Tibone JE. The Mumford procedure in athletes: an objective analysis of function. Am J Sports Med 1988; 16: 97–100.
Flatow EL, Bigliani LU. Arthroscopic acromioclavicular joint debridement and distal clavicle resection. Oper Tech Orthop 1991; 1: 240–247.
Bigliani LU, Nicholson GP, Flatow EL. Arthroscopic resection of the distal clavicle. Orthop Clin N Am 1993; 24 (1): 133–141.
Matthews LS, Parks BG, Pavlovich LJ et al. Arthroscopic versus open distal clavicle resection: a biomechanical analysis on a cadaveric model. Arthroscopy 1999; 5 (3): 237–240.
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.
Flatow EL, Duralde XA, Nicholson GP, et al. Arthroscopic resection of the distal clavicle with a superior approach. J Shoulder Elbow Surg 1995; 4: 41–50.
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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