Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1224-1232 , November 2009

Open Versus Arthroscopic Acromioclavicular Joint Resection: A Retrospective Comparison Study

  • Bassem Elhassan, M.D.

      Affiliations

    • Department of Orthopedics, Mayo Clinic, Rochester, Minnesota, U.S.A.
    • ,
  • Mehmet Ozbaydar, M.D.

      Affiliations

    • Harvard Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • ,
  • David Diller, B.A.

      Affiliations

    • Harvard Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • ,
  • Daniel Massimini, B.S.

      Affiliations

    • Harvard Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • ,
  • Laurence D. Higgins, M.D.

      Affiliations

    • Harvard Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • Sports Medicine and Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.
    • ,
  • Jon J.P. Warner, M.D.

      Affiliations

    • Harvard Shoulder Service, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts, U.S.A.
    • Massachusetts General Hospital, Boston, Massachusetts, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Jon J. P. Warner, M.D., Chief, The Harvard Shoulder Service, Massachusetts General Hospital, Harvard Medical School, Yawkey Ctr. for Outpatient Care, Suite 3G, 55 Fruit Street, Boston, MA 02493, U.S.A.

Received 7 October 2007 ,Accepted 10 June 2009.

References 

  1. Rabalais RD, McCarty E. Surgical treatment of symptomatic acromioclavicular joint problems: A systematic review. Clin Orthop Relat Res. 2007;455:30–37
  2. Kassarjian A, Llopis E, Palmer WE. Distal clavicular osteolysis: MR evidence for subchondral fracture. Skeletal Radiol. 2007;36:17–22
  3. Beals RK, Sauser DD. Nontraumatic disorders of the clavicle. J Am Acad Orthop Surg. 2006;14:205–214
  4. Mestan MA, Bassano JM. Posttraumatic osteolysis of the distal clavicle: Analysis of 7 cases and a review of the literature. J Manipulative Physiol Ther. 2001;24:356–361
  5. Cadet E, Ahmad CS, Levine WN. The management of acromioclavicular joint osteoarthrosis: Debride, resect, or leave it alone. Instr Course Lect. 2006;55:75–83
  6. Kurta I, Datir S, Dove M, Rahmatalla A, Wynn-Jones C, Maffulli N. The short term effects of a single corticosteroid injection on the range of motion of the shoulder in patients with isolated acromioclavicular joint arthropathy. Acta Orthop Belg. 2005;71:656–661
  7. Jacob AK, Sallay PI. Therapeutic efficacy of corticosteroid injections in the acromioclavicular joint. Biomed Sci Instrum. 1997;34:380–385
  8. Alford W, Bach B. Open distal clavicle resection. Oper Tech Sports Med. 2004;12:9–17
  9. Eskola A, Santavirta S, Viljakka HT, Wirta J, Partio TE, Hoikka V. The results of operative resection of the lateral end of the clavicle. J Bone Joint Surg Am. 1996;78:584–587
  10. Flanagan D, Nuber G. Acromioclavicular joint pathology. In:  Miller M,  Cole B editor. Textbook of arthroscopy. Ed 1. Philadelphia: WB Saunders; 2004;p. 177–185
  11. Mumford E. Acromioclavicular dislocation: A new operative treatment. J Bone Joint Surg. 1941;23:799–802
  12. Blazar PE, Iannotti JP, Williams GR. Anteroposterior instability of the distal clavicle after distal clavicle resection. Clin Orthop Relat Res. 1998;114–120
  13. Auge WK, Fischer RA. Arthroscopic distal clavicle resection for isolated atraumatic osteolysis in weight lifters. Am J Sports Med. 1998;26:189–192
  14. Barber FA. Coplaning of the acromioclavicular joint. Arthroscopy. 2001;17:913–917
  15. Lervick GN. Direct arthroscopic distal clavicle resection: A technical review. Iowa Orthop J. 2005;25:149–156
  16. Gartsman GM. Arthroscopic resection of the acromioclavicular joint. Am J Sports Med. 1993;21:71–77
  17. Kay SP, Ellman H, Harris E. Arthroscopic distal clavicle excision (Technique and early results). Clin Orthop Relat Res. 1994;181–184
  18. Buford D, Mologne T, McGrath S, Heinen G, Snyder S. Midterm results of arthroscopic co-planing of the acromioclavicular joint. J Shoulder Elbow Surg. 2000;9:498–501
  19. Kay SP, Dragoo JL, Lee R. Long-term results of arthroscopic resection of the distal clavicle with concomitant subacromial decompression. Arthroscopy. 2003;19:805–809
  20. Levine WN, Barron OA, Yamaguchi K, Pollock RG, Flatow EL, Bigliani LU. Arthroscopic distal clavicle resection from a bursal approach. Arthroscopy. 1998;14:52–56
  21. Levine WN, Soong M, Ahmad CS, Blaine TA, Bigliani LU. Arthroscopic distal clavicle resection: A comparison of bursal and direct approaches. Arthroscopy. 2006;22:516–520
  22. Zanca P. Shoulder pain: Involvement of the acromioclavicular joint ((Analysis of 1,000 cases)). Am J Roentgenol Radium Ther Nucl Med. 1971;112:493–506
  23. Gilbart MK, Gerber C. Comparison of the subjective shoulder value and the Constant score. J Shoulder Elbow Surg. 2007;16:717–721
  24. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160–164
  25. Yian EH, Ramappa AJ, Arneberg O, Gerber C. The Constant score in normal shoulders. J Shoulder Elbow Surg. 2005;14:128–133
  26. Martin SD, Baumgarten TE, Andrews JR. Arthroscopic resection of the distal aspect of the clavicle with concomitant subacromial decompression. J Bone Joint Surg Am. 2001;83:328–335
  27. Kharrazi FD, Busfield BT, Khorshad DS. Acromioclavicular joint reoperation after arthroscopic subacromial decompression with and without concomitant acromioclavicular surgery. Arthroscopy. 2007;23:804–808
  28. Tytherleigh-Strong G, Gill J, Sforza G, Copeland S, Levy O. Reossification and fusion across the acromioclavicular joint after arthroscopic acromioplasty and distal clavicle resection. Arthroscopy. 2001;17:36e

 The authors report no conflict of interest.

PII: S0749-8063(09)00522-2

doi: 10.1016/j.arthro.2009.06.010

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1224-1232 , November 2009

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