title: Arthroscopic resection of the distal clavicle with concomitant subacromial decompression: a case series.
abstract: Shoulder impingement syndrome and acromioclavicular joint osteoarthritis often occur simultaneously and easily missed. Kay et al. reported excellent results with combined arthroscopic subacromial decompression and resection of the distal end of the clavicle in patients with both disorders(1). Arthroscopic treatment of these disorders produces more favourable results than open procedures. We report two patients who were not responding to conservative management and were treated with direct arthroscopic distal clavicle excision and subacromial decompression in single setting. Both patients gained good postoperative outcome in terms of pain score, function and strength improvement assessed objectively with visual analogue score (VAS) and University of California Los Angeles Score (UCLA).
  
  
  BACKGROUND
  Acromioclavicular joint arthritis, distal clavicle excision, Arthroscopy, Mumford operation.
authors.affiliation: Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
authors.forename: Hz
authors.initials: H
authors.lastname: Chan
authors.affiliation: Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
authors.forename: Cl
authors.initials: C
authors.lastname: Ooi
authors.affiliation: Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
authors.forename: My
authors.initials: M
authors.lastname: Lim
authors.affiliation: Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
authors.forename: Eks
authors.initials: E
authors.lastname: Ong
authors.affiliation: Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
authors.forename: O
authors.initials: O
authors.lastname: Zulkiflee