Acromioclavicular Resection: Direct “Superior” Approach
Acromioclavicular (AC) joint pain is a common shoulder problem that can often be effectively treated by resecting the distal end of the clavicle.1–3 Because AC joint pathology often occurs in association with other shoulder disorders, resection not uncommonly accompanies other procedures.1,4 In cases of isolated AC joint pathology unresponsive to nonoperative treatment, open or arthroscopic techniques are both effective operative strategies. Quantitative comparisons have demonstrated that an adequate amount of bone resection can be achieved by either arthroscopic or open means.5,6 The direct “superior” and indirect “bursal” approaches are the two main options for arthroscopic AC joint resection.
KeywordsACROMIOCLAVICULAR Joint Distal Clavicle Shoulder Disorder Superior Approach Arthroscopic Resection
Unable to display preview. Download preview PDF.
- 1.Mumford EB. Acromioclavicular dislocation: a new operative treatment. J Bone Joint Surg 1941; 23: 799–801.Google Scholar
- 2.Neer CS. Shoulder Reconstruction. Philadelphia: WB Saunders; 1990;433–436.Google Scholar
- 7.Johnson LL. Diagnostic and Surgical Arthroscopy. St. Louis: CV Mosby; 1981.Google Scholar
- 8.Urist M. Complete dislocation of the acromioclavicular joint: the nature of the lesion and effective methods of treatment with an analysis of 41 cases. J Bone Joint Surg 1946; 28: 13.Google Scholar
- 11.Bigliani LU, Nicholson GP, Flatow EL. Arthroscopic resection of the distal clavicle. Orthop Clin N Am 1993; 24 (1): 133–141.Google Scholar
- 12.Matthews LS, Parks BG, Pavlovich LJ et al. Arthroscopic versus open distal clavicle resection: a biomechanical analysis on a cadaveric model. Arthroscopy 1999; 5 (3): 237–240.Google Scholar
- Post M, Flatow EL, Bigliani LU, Pollock RG. The Shoulder: Operative Technique. Baltimore: Williams and Wilkins, 1998: 239–241.Google Scholar