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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

SA orthop. j. vol.8 n.4 Centurion Jan. 2009




Acromioclavicular joint: Direct arthroscopy, the Mumford procedure



C AnleyI; J de BeerII

IMBChB(Stell), MPhil(Sportsmedicine)(UCT); Registrar. Dept of Orthopaedics, University of Stellenbosch
IIMBChB, MMed(Ortho); Senior Consultant. Dept of Orthopaedics, University of Stellenbosch





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.



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Dr C Anley
Dept of Orthopaedic Surgery
PO Box 19063
Tel: +27 21 938-9266



This article is the sole work of the authors. No benefits of any form are to be received from a commercial party related directly or indirectly to the subject of this article.

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