Arthroscopic distal clavicle excision (DCE) is a minimally invasive surgical procedure used to treat pain and instability in the acromioclavicular (AC) joint. The AC joint is the joint that connects the collarbone (clavicle) to the shoulder blade (scapula).

DCE is performed in a minimally-invasive through small incisions in the shoulder. A camera is inserted into one incision, and surgical instruments are inserted into the other incisions. The surgeon then removes a portion of the distal clavicle (the end of the clavicle that attaches to the scapula). Care is taken to protect the AC ligaments to ensure maintenance of stability of the AC joint. Doing this procedure arthroscopically protects the ligaments in this manner.

DCE is a safe and effective procedure for treating pain and instability in the AC joint. The procedure usually takes about 1 hour to perform and patients typically go home the same day.

Risks and Complications

As with any surgery, there are some risks associated with DCE. These risks include:

• Infection

• Bleeding

• Nerve damage

• Thrombosis

• Reaction to anesthesia

Recovery

Recovery from DCE is usually relatively quick. Physical therapy will help to improve range of motion and strength in the shoulder.

Most patients are able to return to their normal activities within 6-8 weeks after surgery. However, it is important to listen to your body and not push yourself too hard during recovery.

If you are experiencing pain, swelling, or decreased range of motion in your shoulder, talk to us about whether DCE may be right for you.