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Complications after open distal clavicle excision.

Efstathis Chronopoulos1, Harpreet S Gill, Michael T Freehill

  • 1Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Clinical Orthopaedics and Related Research
|February 12, 2008
PubMed
Summary

Open distal clavicle excision, considered a safe standard, showed a high complication rate of 64% in our study. These complications, including joint tenderness and scar hypertrophy, were more frequent and varied than previously reported.

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Area of Science:

  • Orthopedic Surgery
  • Shoulder Surgery

Background:

  • Open distal clavicle excision is the established standard for comparison with arthroscopic techniques.
  • Existing literature suggests this open procedure is generally safe.

Purpose of the Study:

  • To evaluate the complication rate of open distal clavicle excision in a specific patient cohort.
  • To compare the observed complication rate and types with existing literature.

Main Methods:

  • Retrospective review of 42 patients undergoing isolated open distal clavicle excision between 1992 and 2003.
  • Analysis of complication incidence and specific types within the study cohort.

Main Results:

  • A total of 27 complications (64%) were recorded in the cohort.

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  • Complication rates were substantially higher than those reported in previous literature.
  • New complications observed included persistent acromioclavicular joint tenderness and scar hypertrophy.

    • Conclusions:

    • Open distal clavicle excision may be associated with a higher frequency of complications than previously documented.
    • The types of complications following open distal clavicle excision may differ from those reported in prior studies.