
CAUSES
- Trauma
- Weightlifting (Distal Clavicle Osteolysis)
SYMPTOMS
- Pain on top of shoulder
- Impingement
PREOP
- X-ray
- MRI—evaluate for other pathology
RECOVERY
- 10 days suture removal
- 5-7 days in sling
- 2 months physical therapy 2 x per week.
- Expectation is full range of motion and no pain with return to full activity. Sports by 2-3 months.
TECHNIQUE
The end of the clavicle (5mm) is removed arthroscopically through small incisions with the aid of a camera.
DAY OF SURGERY
- Nerve block anesthesia
- 1 hour surgery
- Outpatient
WHEN TO HAVE SURGERY?
- Painful distal clavicle osteolysis or AC joint arthritis
- Failed conservative treatment including rest, PT, injection.
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These pics from website are good. Renumber and re-caption.
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Tear Before
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Sutures Passed
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Final Repair
Questions?
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