Diagnosis and Management of Distal Clavicle Osteolysis.

  title={Diagnosis and Management of Distal Clavicle Osteolysis.},
  author={Steven F. DeFroda and Christopher R Nacca and Gregory R. Waryasz and Brett D. Owens},
  volume={40 2},
Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and extreme athletics. Distal clavicle osteolysis can be debilitating, especially in those with rigorous training regimens, preventing exercise because of pain with activities such as… Expand
Distal Clavicle Excision for Acromioclavicular Joint Osteoarthritis Using a Fluoroscopic Kirschner Wire Guide
An indirect subacromial arthroscopic distal clavicle excision using a fluoroscopic Kirschner wire guide placed at the proximal border prior to resection to serve as a visual and mechanical reference to overexcision is described. Expand
Arthroscopic Distal Clavicle Resection Through the Supraspinatus Fossa Portal
The introduction of a special DCR technique through the supraspinatus fossa (SSF) portal is introduced to provide a special technical option when DCR is needed to treat disorders of the acromioclavicular joint. Expand
Current evidence for nonpharmacological interventions and criteria for surgical management of persistent acromioclavicular joint osteoarthritis: A systematic review
There is no evidence to guide clinicians about the individual or combined effectiveness of nonpharmacological interventions for individuals with persistent acromioclavicular joint osteoarthritis. Expand
Lamins and bone disorders: current understanding and perspectives
Current knowledge on laminopathies affecting bone and LMNA involvement in bone turnover and lamin-dependent mechanisms causing bone disorders are reviewed and can be exploited to identify new therapeutic approaches. Expand
Linking skeletal muscle aging with osteoporosis by lamin A/C deficiency
Evidence that loss of lamin A/C in skeletal muscles, but not osteoblast (OB)-lineage cells, results in not only muscle aging–like deficit but also trabecular bone loss is provided, uncovering a pathological mechanism underlying the link between muscle aging/senescence and osteoporosis. Expand
Cross-Species RNA-Seq Study Comparing Transcriptomes of Enriched Osteocyte Populations in the Tibia and Skull
A cross-species study comparing RNA transcriptomes of cranial and tibial osteocytes from bones with very different primary functions and physiological responses suggests different control of regulatory mechanisms in bone homeostasis in the skull and tibia and indicates a different balance between genetically determined structure and feedback mechanisms to strains induced by mechanical loading at the different sites. Expand
Distal clavicle osteolysis
  • Andrew T. Gomez, Ashwin L. Rao
  • Sports-related Fractures, Dislocations and Trauma
  • 2020


Distal clavicular osteolysis: a review of the literature.
Much of the literature supports the same general indications for surgery, including point tenderness of the AC joint, evident abnormal signs with AC joint scintigraphy and AC radiographs, lack of response to conservative treatment, and an unwillingness to give up or modify weight training or manual labor. Expand
Atraumatic Osteolysis of the Distal Clavicle
The diagnosis of AODC is confirmed by the history of accumulative exercise doses and the key historical feature of intensive participation in strength training, and local tenderness will be found at the acromioclavicular joint. Expand
Painful conditions of the acromioclavicular joint.
  • B. Shaffer
  • Medicine
  • The Journal of the American Academy of Orthopaedic Surgeons
  • 1999
The acromioclavicular (AC) joint may be affected by a number of pathologic processes, most commonly osteoarthritis, posttraumatic arthritis, and distal clavicle osteolysis, and the optimal amount of distalClavicle resection remains elusive. Expand
Arthroscopic treatment of acromioclavicular joint injuries and results.
To the accomplished arthroscopic shoulder surgeon, arthro Scopic resection of the symptomatic AC joint gives excellent clinical results that allow a compromised athlete a relatively quick return to desired sport activities. Expand
Arthroscopic Distal Clavicle Resection in Athletes
Both the direct superior approach and the indirect subacromial approach to the arthroscopic distal clavicle resection result in successful clinical outcome with clinically insignificant difference at final follow-up. Expand
Arthroscopic Distal Clavicle Resection For Isolated Atraumatic Osteolysis in Weight Lifters
Limited arthroscopic resection of the distal clavicle for isolated atraumatic osteolysis is a viable alternative for the weight lifter or bodybuilder and a sport-specific functional outcome questionnaire has been developed for this patient population. Expand
Osteolysis of the distal clavicle in a female body builder
Osteolysis of the distal clavicle can be seen after a contusion to the shoulder, a clavicles fracture, or an acromioclavicular joint dislocation, but it most commonly follows a fall or motor vehicle accident. Expand
Arthroscopic distal clavicle resection: a comparison of bursal and direct approaches.
Both the direct and bursal approaches lead to satisfactory outcomes in the majority of patients with ACJ arthrosis, however, the direct approach to the ACJ may damage the superior capsular ligaments, potentially leading to distal clavicle instability. Expand
Arthroscopic Versus Open Distal Clavicle Excision
Open and arthroscopic DCE are both effective surgeries to treat recalcitrant acromioclavicular joint pain at intermediate-term follow-up and provide similarly good to excellent results with regard to patient satisfaction and shoulder function. Expand
Osteolysis of the distal clavicle: long-term results of arthroscopic resection.
  • M. Zawadsky, G. Marra, +4 authors L. Bigliani
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2000
Arthroscopic resection for osteolysis of the distal clavicle has results comparable to open excision with low morbidity and patients with a traumatic etiology had slightly worse results. Expand