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SA Orthopaedic Journal

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


ANLEY, C  and  DE BEER, J. Acromioclavicular joint: Direct arthroscopy, the Mumford procedure. SA orthop. j. [online]. 2009, vol.8, n.4, pp.63-66. ISSN 2309-8309.

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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