HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Auge, W. K. Articles by Fischer, R. A. Search for Related Content PubMed PubMed Citation Articles by Auge, W. K., II Articles by Fischer, R. A. Related Collections Shoulder Other Arthroscopy

Arthroscopic Distal Clavicle Resection For Isolated Atraumatic Osteolysis in Weight Lifters

Ohio State University, Division of Orthopedics, Columbus, Ohio

* Address correspondence and reprint requests to Richard A. Fischer, MD, The Ohio State University, Division of Orthopedics, 2050 Kenny Road, Columbus, OH 43221

Ten consecutive patients with isolated atraumatic osteolysis of the distal clavicle who had failed results with conservative treatment were treated with arthroscopic resection of the involved distal clavicle (average, 4.5 mm). All patients were men with an average age of 30.4 years, had unilateral involvement, and were considered aggressive amateur to elite weight lifters or bodybuilders. Postoperative symptoms consisted of pain at the incision and discomfort from extravasation of the irrigation fluid. At an average followup of 18.7 months, all patients had returned to their sport (average, 3.2 days) and to their preoperative weight training program (average, 9.1 days). They continued to be asymptomatic throughout the follow-up period and were able to increase both their training volume and strength from preoperative levels. Limited arthroscopic resection of the distal clavicle for isolated atraumatic osteolysis is a viable alternative for the weight lifter or bodybuilder. The ability to continue training without significant interruption as well as a more acceptable cosmetic appearance are benefits for these patients. Limited arthroscopic resection of the distal clavicle may be sufficient for this entity in this patient population, rather than the 1 to 2 cm previously reported. A sport-specific functional outcome questionnaire has been developed for this patient population.

This article has been cited by other articles:

				A. D. Mazzocca, R. A. Arciero, and J. Bicos Evaluation and Treatment of Acromioclavicular Joint Injuries Am. J. Sports Med., February 1, 2007; 35(2): 316 - 329. [Abstract] [Full Text] [PDF]

				K. M. Charron, A. A. Schepsis, and I. Voloshin Arthroscopic Distal Clavicle Resection in Athletes: A Prospective Comparison of the Direct and Indirect Approach Am. J. Sports Med., January 1, 2007; 35(1): 53 - 58. [Abstract] [Full Text] [PDF]

				E. Chronopoulos, T. K. Kim, H. B. Park, D. Ashenbrenner, and E. G. McFarland Diagnostic Value of Physical Tests for Isolated Chronic Acromioclavicular Lesions Am. J. Sports Med., April 1, 2004; 32(3): 655 - 661. [Abstract] [Full Text] [PDF]

				K. Meister Injuries to the Shoulder in the Throwing Athlete: Part Two: Evaluation/Treatment Am. J. Sports Med., July 1, 2000; 28(4): 587 - 601. [Abstract] [Full Text] [PDF]