Does Distal Clavicle Resection Decrease Pain or Improve Shoulder Function in Patients With Acromioclavicular Joint Arthritis and Rotator Cuff Tears? A Meta-analysis.

CONCLUSIONS: Distal clavicle resection in patients with rotator cuff tears did not result in better clinical outcome scores or shoulder ROM and was not associated with a lower risk of reoperation. Distal clavicle resection might cause acromioclavicular joint instability in patients with rotator cuff tears and concomitant asymptomatic acromioclavicular joint arthritis. Arthroscopic distal clavicle resection is not recommended in patients with rotator cuff tears and concomitant acromioclavicular joint arthritis. Additional well-designed RCTs with more participants, long-term followup, and data on patient-reported outcomes are needed.
LEVEL OF EVIDENCE: Level I, therapeutic study.
PMID: 30334833 [PubMed - as supplied by publisher]

Source: Clinical Orthopaedics and Related Research - October 16, 2018 Category: Orthopaedics Authors: Wang J, Ma JX, Zhu SW, Jia HB, Ma XL Tags: Clin Orthop Relat Res Source Type: research