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Ability to evaluate the glenohumeral joint
81%
1897/2353
Preservation of the coracoclavicular ligaments
4%
104/2353
Preservation of the inferior acromioclavicular ligaments
93/2353
Lower complication rate
8%
180/2353
Decreased surgical time
3%
70/2353
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The arthroscopic approach with an initial diagnostic arthroscopy of the glenohumeral space prior to subacromial space is felt to be helpful in confirming the diagnosis and identifying other pathology. Berg et al. reviewed failures of open distal clavicle excision and found that 15 patients had a missed SLAP lesion. Fewer complications, lower infection rate, and decreased surgical time have not been documented in the literature. Lemos & Tolo reviewed complications resulting from treatment of AC joint pathology. The open technique can often miss other underlying pathology, such as rotator cuff and labral pathology, that may be associated with degenerative changes of the acromioclavicular joint. Therefore, they recommend that even if an open distal clavicle excision is the treatment of choice, an arthroscopic evaluation of the glenohumeral joint be performed at the same time.
2.4
(33)
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