Arthroscopic acromioclavicular joint debridement and distal clavicle resection

Evan L. Flatow, Louis U. Bigliani

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Arthroscopic distal clavicle excision can achieve technical success in bone removal comparable to open resection, with reduced morbidity and earlier return to sports and activities. Arthroscopic resection preserves the acromioclavicular ligaments and capsule, and avoids injury to the deltoid and trapezius attachments. Bursal (indirect) arthroscopic approaches for resection of the distal clavicle are often used when this procedure is performed together with arthroscopic subacromial decompression. Superior (direct) arthroscopic approaches provide direct visualization of the entire distal clavicular articular surface, allowing precise, even bone contouring. Also, the superior approach is not dependent on the ability to depress the clavicle into the bursa. The role, if any, for acromioclavicular joint debridement without bone resection is as yet unclear.

Original languageEnglish
Pages (from-to)240-247
Number of pages8
JournalOperative Techniques in Orthopaedics
Volume1
Issue number3
DOIs
StatePublished - Jul 1991

Keywords

  • acromioclavicular joint
  • arthroscopy
  • athletic injuries
  • clavicle
  • direct visualization
  • osteolysis
  • resection
  • shoulder
  • superior approach

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