Direct arthroscopic distal clavicle resection: a technical review.
Degenerative change involving the acromioclavicular (AC) is frequently seen as part of a normal aging process. Occasionally, this results in a painful clinical condition. Although AC joint symptoms commonly occur in conjunction with other shoulder pathology, they may occur in isolation. Treatment of isolated AC joint osteoarthritis is initially non-surgical. When such treatment fails to provide lasting relief, surgical treatment is warranted. Direct (superior) arthroscopic resection of the distal (lateral) end of the clavicle is a successful method of treating the condition, as well as other isolated conditions of the AC joint. The following article reviews appropriate patient evaluation, surgical indications and technique.
Lervick
Gregory N
GN
Minnesota Sports Medicine, Orthopaedic Consultants, PA, 775 Prairie Center Dr., Suite 250, Eden Prairie, MN 55344, USA. greglervick@ocpamn.com
D000173:Acromioclavicular Joint / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000473:pathology; D000328:Adult; D001182:Arthroscopy; D002968:Clavicle / Q000601:surgery*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular