How much distal clavicle resection?
Most surgeons have agreed that the resection length should be approximately 8 to 10 mm to prevent the bony contact between the acromion and the clavicle while preserving the acromioclavicular ligament and capsule. Mall N.A. Foley E.
Why do a distal clavicle excision?
Distal clavicle excision is a procedure which involves removal of the outer end of the clavicle (collarbone) to treat shoulder pain and disability due to arthritis or impingement.
What can I expect after distal clavicle excision?
You may regain normal daily use of your arm in three weeks and return to sports and activities in about two months if you remain dedicated to physical therapy. The recovery time may be slightly faster after arthroscopic surgery. Maintaining strong and flexible shoulder muscles is the best way to prevent reinjury.
What is a distal Claviculectomy?
If you are experiencing pain caused by arthritis and some of the clavicle has degenerated because of arthritis of the shoulder joint, you may need to undergo a distal claviculectomy. This procedure involves removing part of the collarbone to alleviate discomfort and restore range of motion in the joint.
Is distal clavicle resection worth it?
Outcome Scores Some studies have found that distal clavicle resection can help manage refractory symptomatic acromioclavicular joint arthritis in patients without rotator cuff tears [25, 27] and that it can be performed arthroscopically [6, 29].
What is a clavicle surgery called?
Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken collarbone (clavicle). The clavicle is a long thin bone located between your ribcage and the shoulder blade.
How long is recovery after clavicle surgery?
In general, recovery is similar to treating a broken clavicle without surgery with return to normal activity around three months or so and full recovery up to six to 12 months after surgery.
How do you sleep after clavicle surgery?
Here are some tips for sleeping after shoulder surgery.
- Sleep on an Incline. Do not sleep flat on your back.
- Wear your sling. Wearing your sling during the day helps keep your arm in the proper position but also provides protection.
- Use a pillow prop.
- Time your medications.
- Ice before bed.
Does distal clavicle resection decrease pain or improve shoulder function in patients with acromioclavicular joint arthritis and rotator cuff tears?
Pooled results from this systematic review and meta-analysis found that distal clavicle resection in patients with rotator cuff tears did not result in improved ASES scores, VAS scores, Constant scores, or shoulder ROM nor did it decrease acromioclavicular joint pain or tenderness or lower the risk of reoperation.
How painful is clavicle surgery recovery?
You will have some pain during recovery. In most cases, an over-the-counter pain reliever can control the pain. An ice pack may also help reduce pain and swelling. You will start physical therapy during the first three weeks, while you are still using the sling.
How long does it take for a clavicle to heal after surgery?
Do you need physical therapy after clavicle surgery?
Eight to 12 weeks of physical therapy is common after surgery. During the first week after surgery, your physical therapist will help you control pain and swelling. They may begin some gentle motion exercises. You will wear a sling or brace for support and comfort.
How do you shower after clavicle surgery?
It is ok to shower or sponge bathe 2 days after surgery but you must keep your shoulder incisions clean and dry at all cost! This usually entails using saran wrap or press and seal to waterproof your shoulder. 3. Do not submerse your shoulder in water – no bathtubs, swimming pools, jacuzzi’s.
Can I move my arm after clavicle surgery?
For a while after your surgery, you’ll need to keep your arm immobile. Often, this means that you will need to wear your arm in a sling for several weeks. You’ll receive instructions about how you can move your arm. Your doctor might give you other instructions about caring for your clavicle, like applying ice.
How long after clavicle surgery can I lift my arm?
DO NOT lift any objects over 5 pounds with the surgical arm for the first 6 weeks. AVOID REPEATED reaching for the first 6 weeks. An arm sling is used for 4 weeks post-op. Maintain good upright shoulder girdle posture at all times and especially during sling use.
What is the fastest way to heal a broken clavicle?
The most common way to treat the fractures in the middle is with immobilization with either a sling or a special bandage called a figure-of-8 splint. Studies have shown that these fractures heal just as quickly and as well with a sling as with the figure-of-8 splint, so we recommend a sling in a majority of cases.