Proximal clavicle excision: An analysis of results

Arthroscopic excision of sternoclavicular joint

“…Resection and [7]. In a previously reported series by Acts et al [1] an average of 2.9 cm of the medial clavicle was excised (range 1-4 cm) and 9 out of 15 patients had an excellent or good outcome.…”

Operative treatment of the painful sternoclavicular joint: A new technique using interpositional arthroplasty

“…7,21 Similarly, there have been a number of surgical procedures proposed for the treatment of the painful SC joint that does not respond to conservative measures. 1,2,9,[28][29][30]33,40,41 The published reports that describe the results of these procedures have concurred on 2 key points regarding the surgical technique for treatment of this problem. First, the amount of medial clavicle resected should be limited so that the costoclavicular ligaments, which insert into the rhomboid fossa on the inferior surface of the clavicle, are preserved.…”

“…In light of the study published by Acus et al, 1 we began using the interposition technique along with resection of the medial clavicle in patients with painful degenerative SC joints in hopes of avoiding the regrowth problem. At a mean of 46 months' follow-up, we did not detect any regrowth of the medial clavicle on physical examinations of the 10 patients (11 shoulders) who returned for evaluation.…”

A Comprehensive Review of Trauma and Disruption to the Sternoclavicular Joint With the Proposal of a New Classification System

“…11,40,[73][74][75][76] In general, the reports suggest that in patients suffering significant SCJ arthritic pain and restriction, good results can be achieved. Acus et al reported significant pain relief in 14 of 15 subjects.…”