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Abstract
The technique of arthroscopic resection of the outer end of the clavicle through a
superior approach is evaluated to determine whether adequate bone removal can be achieved.
Furthermore, the results are compared with open resection. Twelve patients with osteolysis
of the outer end of the clavicle refractory to conservative treatment underwent resection:
six open and six arthroscopically through a superior approach. The distances from
the acromial side of the AC joint to the lateral edge of the clavicle at its superior
and inferior cortices were measured before and after surgery on anteroposterior radiographs.
Bone removal was assessed by the difference between pre- and postoperative measurements.
Satisfactory bone removal was possible arthroscopically and averaged 17 mm. This compared
favorably with 18-mm average bone removal in the open group. Comparable pain relief
and function were achieved in both groups. However, pain relief was achieved on average
3.4 months earlier in the arthroscopic group. Hospital stay was significantly shortened
because the arthroscopic resections were outpatient procedures, whereas the open procedures
had an average hospital stay of 3 days.
Keywords
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Article info
Footnotes
The results of this study were presented at the Ninth Annual Meeting of the Arthroscopy Association of North America, Orlando, Florida, April 1990.
The technique described in this article will be demonstrated in a forthcoming Video Supplement to Arthroscopy.
Identification
Copyright
© 1992 Arthroscopy Association of North America. Published by Elsevier Inc.
