Acromioclavicular joint: Direct arthroscopy, the Mumford procedure
BACKGROUND: Isolated degeneration of the acromioclavicular joint (ACJ) is a common cause of ACJ pain in active young to middle-aged athletes and workers performing overhead activities. Once conservative treatment has failed, various surgical options are available. These are an open ACJ excision or an arthroscopic resection, either via a subacromial approach or via direct superior approach. METHODS: The diagnosis of isolated ACJ pathology was confirmed on history, examination, and special investigation including X-rays and ACJ injection. Patients then underwent an arthroscopic ACJ resection via a superior approach as described by Flatow, a brief description of which is presented in this article. RESULTS: A total of 168 patients who had undergone a superior ACJ resection were interviewed telephonically to assess their current level of function and satisfaction. In total 81% reported excellent results, with 7% good results and 12% poor results. CONCLUSION: Although various surgical techniques are available, when considering surgical treatment options for isolated ACJ pathology, resection of the ACJ via a direct superior approach is a safe and effective method.
| Main Authors: | , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Medpharm Publications
2009
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| Online Access: | http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1681-150X2009000400010 |
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