Asymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective randomized comparison study

Kim, Jaehwa; Chung, Ju-Hwan; Ok, Hyun-Soo

doi:10.1007/s00402-010-1216-y

Cited by 34 publications

(49 citation statements)

References 17 publications

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“…In recent years, distal clavicle resection for AC joint arthritis has been performed arthroscopically, and it is possible to simultaneously treat rotator cuff lesions. Kim et al [35] reported good results for arthroscopic distal clavicle resection combined with rotator cuff repair. Arthroscopic distal clavicle resection is a useful method that can simultaneously treat concomitant rotator cuff lesions.…”

Section: Discussionmentioning

confidence: 99%

Technique for Arthroscopic Resection of the Distal Clavicle in Patients with Symptomatic Acromioclavicular Joint Osteoarthritis: A Retrospective Study

Minamikawa¹,

Shibata²,

Minokawa³

2020

Preprint

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Background: Arthroscopic resection of the distal clavicle has the potential risk of inadequate resection that may be associated with residual postoperative pain. We propose a new arthroscopic technique to excise the distal clavicle precisely and reproducibly without causing impingement or instability of the acromioclavicular (AC) joint. The purpose of this study was to evaluate the clinical and radiological results of arthroscopic distal clavicle resection in patients with symptomatic AC joint osteoarthritis.Methods: We retrospectively evaluated 26 patients (mean age, 55.3 ± 16.0 years) who underwent arthroscopic distal clavicle resection between April 2010 and September 2017 with a minimum 1-year follow-up (mean follow-up, 25.3 ± 11.1 months). Nine of these patients also underwent rotator cuff repair. Clinical evaluations performed preoperatively and at final follow-up included subjective pain scores according to a visual analogue scale (VAS), range-of-motion examinations, UCLA scores, and Shoulder-36 scores. Shoulder muscle strengths were measured with a handheld dynamometer. The amount of distal clavicle resection was measured on plain radiographs. Results: No patients had AC joint tenderness. There were significant differences between the preoperative and postoperative VAS, UCLA, and Shoulder-36 scores (P < 0.05). Muscle strengths were measured preoperatively and at final follow-up in 14 patients. Elevation and internal rotation strengths were significantly greater postoperatively, but there was no significant difference in external rotation strength. The mean amount of distal clavicle resection was 14.1 ± 2.1 mm. The mean coracoclavicular distance was 8.4 ± 1.6 mm preoperatively and 8.6 ± 1.8 mm at final follow-up, with no significant difference. Conclusions: Our arthroscopic technique of distal clavicle resection for AC joint osteoarthritis resulted in successful clinical outcomes at final follow-up. Bone resection was performed according to the amount planned, as confirmed on postoperative radiographs. The technique allows resection of the distal clavicle with accurate shape and amount as planned preoperatively with no postoperative instability of the AC joint.

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Section: Discussionmentioning

confidence: 99%

Technique for Arthroscopic Resection of the Distal Clavicle in Patients with Symptomatic Acromioclavicular Joint Osteoarthritis: A Retrospective Study

Minamikawa¹,

Shibata²,

Minokawa³

2020

Preprint

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“…It is also well known that a total resection of the lateral clavicle may result in the destabilization of the whole clavicle. [19] Another study by Kim [4] showed that excision of the distal clavicle combined with rotator cuff repair for asymptomatic AC joint arthritis has lower functional scores because of temporary pain in the early postoperative period, but better functional outcomes with satisfactory pain relief and no reoperation rate were observed after 2 years.…”

Section: Discussionmentioning

confidence: 99%

“…Outlet impingement typically begins at the anteroinferior aspect of the acromion and progress medially to involve the acromioclavicular (AC) joint. [4,5] After acromioplasty, an abrupt step-off may be formed between acromion and distal end of the clavicle, which may behave like a spur. Distal clavicle coplaning was advocated in the original descriptions of arthro- plasty with and without coplaning in patients without AC arthritis.…”

Section: Introductionmentioning

confidence: 99%

The Comparison of Arthroscopic Acromioplasty with and without Acromioclavicular Coplaning

Aydın

Kocaoğlu²,

Sarıoğlu³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…If nonsurgical intervention is pursued, then physical therapy or an ultrasound‐guided injection of steroid in the biceps tendon sheath is an option [50,51]. Similarly, if the acromioclavicular joint is tender, then a distal clavicle excision or acromioclavicular joint injection may be indicated [52,53].…”

Section: Discussionmentioning

confidence: 99%

Clinical Examination of the Rotator Cuff

Jain

Wilcox

Katz

et al. 2013

PM&R

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Rotator cuff tears are the leading cause of shoulder pain and shoulder-related disability accounting for 4.5 million physician visits in the United States annually. A careful history and structured physical examination are often sufficient for diagnosing rotator cuff disorders. We are not aware of a clinical review article that presents a structured physical examination protocol of the rotator cuff for the interested clinician. To fill this void, we present a physical examination protocol developed on the basis of review of prior literature and our clinical experience from dedicated shoulder practices. Our protocol includes range of motion testing using a goniometer, strength testing using a dynamometer, and select special tests. Among the many tests for rotator cuff disorders that have been described, we chose ones that have been more thoroughly assessed for sensitivity and specificity. This protocol can be used to isolate the specific rotator cuff tendon involved. The protocol can be typically completed in 15 minutes. We also discuss the clinical implications and limitations of the physical examination maneuvers described in our protocol. This protocol is thorough yet time-efficient for a busy clinical practice. It is useful in diagnosis of rotator cuff tears, impingement syndrome, and biceps pathology.

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Asymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective randomized comparison study

Cited by 34 publications

References 17 publications

Technique for Arthroscopic Resection of the Distal Clavicle in Patients with Symptomatic Acromioclavicular Joint Osteoarthritis: A Retrospective Study

Technique for Arthroscopic Resection of the Distal Clavicle in Patients with Symptomatic Acromioclavicular Joint Osteoarthritis: A Retrospective Study

The Comparison of Arthroscopic Acromioplasty with and without Acromioclavicular Coplaning

Clinical Examination of the Rotator Cuff

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