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Recent Trends in Concomitant Distal Clavicle Excision During Rotator Cuff Repair
Matthew J Partan1, John M Tarazi1, Peter B White1
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York; Northwell Health-Huntington Hospital, Department of Orthopaedic Surgery, Huntington, New York.
Journal of Surgical Orthopaedic Advances
|July 12, 2024
Summary
Surgeons are performing fewer distal clavicle excisions (DCE) with arthroscopic rotator cuff repairs (RCR). The proportion of RCR with DCE decreased from 51.2% to 40.8% between 2010 and 2019.
Area of Science:
- Orthopaedic Surgery
- Surgical Trends Analysis
Background:
- Distal clavicle excision (DCE) is a procedure sometimes performed with arthroscopic rotator cuff repair (RCR).
- Understanding the trends in concomitant DCE with RCR is important for surgical practice evaluation.
Purpose of the Study:
- To evaluate the trends in the utilization of distal clavicle excision (DCE) in conjunction with arthroscopic rotator cuff repair (RCR) over a decade (2010-2019).
Main Methods:
- Utilized the National Surgical Quality Improvement Program database to identify patients undergoing arthroscopic RCR.
- Subdivided patients into isolated RCR and RCR with DCE (arthroscopic or open).
- Analyzed yearly proportions and used the Cochran-Armitage test for trend analysis.
Main Results:
- A total of 19,163 patients were analyzed.
- The proportion of RCR performed with DCE significantly decreased from 51.2% in 2010 to 40.8% in 2019 (r = -0.830; p = 0.003).
Conclusions:
- The study indicates a declining trend in performing distal clavicle excision concurrently with arthroscopic rotator cuff repair.
- Despite the decrease, a significant number of DCE procedures continue to be performed alongside RCR.