Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction
Distal clavicle insufficiency, or a loss of the bony structure of the distal clavicle, generally after an injury or surgical procedure, may result in shoulder pain, dysfunction, scapular dyskinesia, and chronic acromioclavicular joint instability. If more than 15 to 20 mm of the distal clavicle is m...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725000659 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849419626187849728 |
|---|---|
| author | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Samuel C. Hurley Nate J. Dickinson, B.A. CAPT. Matthew T. Provencher, M.D., M.B.A., MC, USNR (Ret.) |
| author_facet | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Samuel C. Hurley Nate J. Dickinson, B.A. CAPT. Matthew T. Provencher, M.D., M.B.A., MC, USNR (Ret.) |
| author_sort | Mikalyn T. DeFoor, M.D. |
| collection | DOAJ |
| description | Distal clavicle insufficiency, or a loss of the bony structure of the distal clavicle, generally after an injury or surgical procedure, may result in shoulder pain, dysfunction, scapular dyskinesia, and chronic acromioclavicular joint instability. If more than 15 to 20 mm of the distal clavicle is missing, chronic posterior instability of the distal clavicle may ensue and impinge on the deltotrapezial fascia and scapular spine. Although soft tissue reconstruction of the acromioclavicular-coracoclavicular (AC-CC) ligaments is a reliable procedure, if there is 15 to 20 mm or more of distal clavicle missing, it may be difficult to restore the mechanics of the scapular and glenohumeral joint. These can be seen after open or arthroscopic Mumford procedures (distal clavicle excision), AC-CC reconstructions with fracture, distal clavicle fractures, and other mechanisms. This technique article outlines an approach to distal clavicle insufficiency (>20 mm of missing distal clavicle bone) with iliac crest bone autograft reconstruction of the distal clavicle augmented with AC-CC soft tissue reconstruction. |
| format | Article |
| id | doaj-art-2f0dab80dbcc4953b133d452ed2b8730 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-2f0dab80dbcc4953b133d452ed2b87302025-08-20T03:32:01ZengElsevierArthroscopy Techniques2212-62872025-06-0114610349610.1016/j.eats.2025.103496Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular ReconstructionMikalyn T. DeFoor, M.D.0Michael G. Rizzo, M.D.1Marco Adriani, M.D.2Ryan J. Whalen, B.S., C.S.C.S.3Samuel C. Hurley4Nate J. Dickinson, B.A.5CAPT. Matthew T. Provencher, M.D., M.B.A., MC, USNR (Ret.)6San Antonio Military Medical Center, Fort Sam Houston, Texas, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Department of Medical and Surgical Specialties, University of Brescia, Brescia, ItalySteadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Matthew T. Provencher, M.D., M.B.A., MC, USNR (Ret.), Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO 81657, U.S.A.Distal clavicle insufficiency, or a loss of the bony structure of the distal clavicle, generally after an injury or surgical procedure, may result in shoulder pain, dysfunction, scapular dyskinesia, and chronic acromioclavicular joint instability. If more than 15 to 20 mm of the distal clavicle is missing, chronic posterior instability of the distal clavicle may ensue and impinge on the deltotrapezial fascia and scapular spine. Although soft tissue reconstruction of the acromioclavicular-coracoclavicular (AC-CC) ligaments is a reliable procedure, if there is 15 to 20 mm or more of distal clavicle missing, it may be difficult to restore the mechanics of the scapular and glenohumeral joint. These can be seen after open or arthroscopic Mumford procedures (distal clavicle excision), AC-CC reconstructions with fracture, distal clavicle fractures, and other mechanisms. This technique article outlines an approach to distal clavicle insufficiency (>20 mm of missing distal clavicle bone) with iliac crest bone autograft reconstruction of the distal clavicle augmented with AC-CC soft tissue reconstruction.http://www.sciencedirect.com/science/article/pii/S2212628725000659 |
| spellingShingle | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Samuel C. Hurley Nate J. Dickinson, B.A. CAPT. Matthew T. Provencher, M.D., M.B.A., MC, USNR (Ret.) Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction Arthroscopy Techniques |
| title | Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction |
| title_full | Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction |
| title_fullStr | Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction |
| title_full_unstemmed | Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction |
| title_short | Distal Clavicle Insufficiency: Reconstruction With Iliac Crest Autograft of the Distal Clavicle and Acromioclavicular-Coracoclavicular Reconstruction |
| title_sort | distal clavicle insufficiency reconstruction with iliac crest autograft of the distal clavicle and acromioclavicular coracoclavicular reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2212628725000659 |
| work_keys_str_mv | AT mikalyntdefoormd distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT michaelgrizzomd distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT marcoadrianimd distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT ryanjwhalenbscscs distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT samuelchurley distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT natejdickinsonba distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction AT captmatthewtprovenchermdmbamcusnrret distalclavicleinsufficiencyreconstructionwithiliaccrestautograftofthedistalclavicleandacromioclavicularcoracoclavicularreconstruction |