Distal Clavicle Excision or Mumford procedure

A distal clavicle resection, also known as a distal clavicle excision or Mumford procedure, is a surgical treatment performed by our orthopedic surgeon to address certain shoulder conditions, such as acromioclavicular (AC) joint arthritis or impingement. Here is an overview of the treatment process for a distal clavicle resection:

1. Preoperative Evaluation:
   • The orthopedic surgeon will evaluate the patient’s symptoms, medical history, and conduct a physical examination of the shoulder joint. Imaging studies like X-rays or MRI scans may be ordered to assess the condition of the AC joint and surrounding structures.
   • Based on the evaluation, the surgeon will determine if a distal clavicle resection is appropriate for the patient’s condition and discuss the surgical procedure, risks, benefits, and expected outcomes.
2. Surgical Procedure:
   • The surgery is typically performed using arthroscopic techniques, which involve making small incisions and using specialized instruments and a camera (arthroscope) to visualize and operate inside the shoulder joint.
   • The surgeon will create small incisions around the AC joint, insert the arthroscope to assess the joint’s condition, and remove a portion of the distal end of the clavicle (collarbone) that forms the AC joint.
   • Any associated bone spurs or inflamed tissues may also be addressed during the procedure.
   • The surgeon will close the incisions with sutures or adhesive strips.
3. Postoperative Recovery and Rehabilitation:
   • Following the surgery, the patient will be monitored in the recovery area before being discharged with specific instructions for postoperative care.
   • Pain management medications may be prescribed to manage discomfort during the initial recovery period.
   • Physical therapy is a crucial part of the recovery process. The orthopedic surgeon will prescribe a rehabilitation program that typically includes range of motion exercises, strengthening exercises, and gradual return to normal activities.
   • The duration of the rehabilitation process may vary depending on the individual’s healing response and specific surgical considerations.
4. Long-Term Follow-up:
   • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the healing process, assess the patient’s progress, and address any concerns or complications that may arise.
   • The surgeon may order follow-up imaging studies, such as X-rays, to evaluate the AC joint’s condition after surgery.

It’s important to note that each patient’s case is unique, and the treatment approach may vary. Our orthopedic surgeon will develop an individualized treatment plan based on the patient’s specific condition, symptoms, and goals. Adhering to the postoperative rehabilitation plan and attending follow-up appointments are important for a successful recovery and optimal outcomes after a distal clavicle resection.