title: The refractory painful arc syndrome.
abstract: Twenty-three patients with a severe refractory painful arc syndrome have been treated by excision of the outer end of the clavicle and division of the coracoacromial ligament through a deltoid-splitting approach. After a follow-up of more than six months all patients have been relieved of night pain. Six still have slight pain on movement, but the rest are symptom-free.
mesh_terms: D000173:Acromioclavicular Joint / Q000473:pathology; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000473:pathology / Q000601:surgery; D008297:Male; D008722:Methods; D008875:Middle Aged; D009132:Muscles / Q000601:surgery; D010146:Pain; D013577:Syndrome; D013710:Tendons / Q000473:pathology