Arthroscopic resection of the distal clavicle with a superior approach

Flatow, Evan L.; Duralde, Xavier A.; Nicholson, Gregory P.; Pollock, Roger G.; Bigliani, Louis U.

doi:10.1016/s1058-2746(10)80007-2

Cited by 104 publications

(77 citation statements)

References 31 publications

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“…18,[53][54][55][56][57] Indications include idiopathic AC joint arthrosis, DCO, and low-grade (grades I and II) AC joint separations that fail conservative treatment. Rabalais and McCarty 53 completed a systematic review on this topic and concluded that the literature generally supports DCE for atraumatic AC joint arthrosis.…”

Section: Operative Management Of Acromioclavicular Joint Pathologymentioning

confidence: 99%

Acromioclavicular Joint Problems in Athletes and New Methods of Management

Rios¹,

Mazzocca²

2008

Clinics in Sports Medicine

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Section: Operative Management Of Acromioclavicular Joint Pathologymentioning

confidence: 99%

Acromioclavicular Joint Problems in Athletes and New Methods of Management

Rios¹,

Mazzocca²

2008

Clinics in Sports Medicine

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“…For those who fail nonoperative treatment, distal clavicle resection usually results in resolution of pain and return to sport [ 98 ]. We perform an isolated distal clavicle resection as described by Flatow et al [ 27 ] from a superior approach in athletes that have no other shoulder pathology. Long-term follow-up has demonstrated excellent outcomes and comparable results to an open approach [ 121 ].…”

Section: Distal Clavicle Osteolysismentioning

confidence: 99%

Shoulder Injuries in the Young Tennis Athlete

Koehler

Meier

Gladstone

2016

Contemporary Pediatric and Adolescent Sports Medicine

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“…DCE has been described in the treatment of a painful ACJ in athletes, and many authorities have reported success with this technique [2,16,17,43,50,59]. Indications include idiopathic ACJ arthrosis, DCO, and low-grade (grades I and II) ACJ separations that fail conservative treatment.…”

Section: Operative Managementmentioning

confidence: 99%

“…Rabalais and McCarty completed a systematic review on this topic and concluded that the literature generally supports DCE for atraumatic ACJ arthrosis [50]. Contraindications to DCE include chronic pain from severe (grade III or higher) ACJ separations or in grade II injuries associated with hypermobility [7,17,21,34,54,58].…”

Section: Operative Managementmentioning

confidence: 99%

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Management of the Acromioclavicular Joint Problems

Tetik

2011

Sports Injuries

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The acromioclavicular joint (ACJ) is composed of the distal end of the clavicle and the acromion. Its function is to anchor the clavicle to the scapula and to the shoulder girdle. The subcutaneous location of this joint makes it vulnerable to injury. It is approximately 9% of all the shoulder injuries. The majority of the injuries occur in men with a male to female ratio of approximately 5:1, and patients in their 20s are the most affected age group [53]. Because of the high incidence of these injuries, orthopedists, sports medicine doctors, emergency physicians, and physical therapists should be aware of the management of these injuries [56]. AnatomyThe ACJ is subcutaneous and has little protection by soft tissues. It is composed of the distal end of the clavicle and the acromion and serves to anchor the clavicle to the scapula and the shoulder girdle. This is an inherently unstable articulation. ACJ capsule and the strong coracoclavicular (CC) ligaments, conoid ligament medially and trapezoid ligament laterally, support the joint and provide static stability. The dynamic stabilizers are the trapezius and deltoid muscles. The distal ends of the clavicle and the acromion are lined with hyaline cartilage, and there is a meniscal structure intraarticularly. The role of this meniscus is negligible, and generally it is thought to be degenerated during the fourth decade [56].The clavicular origin of the conoid ligament originates an average of 46 mm medial to the ACJ, and the trapezoid ligament originates 26 mm medial to the ACJ. The conoid is more posterior compared with the trapezoid origin at the mid-portion of the inferior surface of the clavicle [52]. The superior, inferior, and posterior acromioclavicular (AC) ligaments insert an average of 16-20 mm medial to the ACJ on the clavicle. The importance of this anatomic observation is that aggressive distal clavicle excision (DCE) can destabilize the ACJ and lead to symptomatic posterior impingement against the acromion if that ranges were exceeded.

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Arthroscopic resection of the distal clavicle with a superior approach

Cited by 104 publications

References 31 publications

Acromioclavicular Joint Problems in Athletes and New Methods of Management

Acromioclavicular Joint Problems in Athletes and New Methods of Management

Shoulder Injuries in the Young Tennis Athlete

Management of the Acromioclavicular Joint Problems

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