What is Acromioclavicular (AC) Joint Resection for Arthritis?
Acromioclavicular (AC) joint resection is a surgical procedure used to treat arthritis and other painful conditions affecting the acromioclavicular joint, which is the joint located between the collarbone (clavicle) and the shoulder blade (scapula). This procedure is typically considered when conservative treatments, such as medications, physical therapy, and injections, have not provided adequate relief from pain and dysfunction.
Causes for Joint Resection for Arthritis
AC joint resection is primarily performed for the treatment of osteoarthritis or degenerative arthritis that affects the acromioclavicular joint. Osteoarthritis is a condition characterized by the breakdown of cartilage in the joints, leading to pain, stiffness, and limited mobility.
What to Expect During a Joint Resection for Arthritis
During an AC joint resection surgery:
- Anesthesia: The patient is usually placed under general anesthesia or regional anesthesia (such as a nerve block) to ensure they are comfortable and pain-free during the procedure.
- Incision: An incision is made over the AC joint area, typically on the top of the shoulder.
- Removal of Bone: The surgeon removes a portion of the end of the collarbone (clavicle) and the surface of the acromion (the part of the shoulder blade that articulates with the clavicle). This removal creates space between the two bones and reduces friction, which can help alleviate pain and discomfort.
- Closure: The incision is then closed with sutures or staples, and the surgical site is dressed and bandaged.
What to Expect After a Joint Resection for Arthritis
Recovery from AC joint resection surgery can vary based on individual factors and the extent of the procedure. Generally, patients can expect:
- Pain Management: Pain and discomfort are common initially, but medications prescribed by the surgeon can help manage pain during the recovery period.
- Physical Therapy: Physical therapy exercises will be recommended to improve shoulder mobility, strength, and function.
- Return to Activities: Patients can gradually resume normal activities as guided by their surgeon and physical therapist.
- Full Recovery: Full recovery can take several weeks to a few months, depending on the patient's progress.
Risks Factors of a Joint Resection for Arthritis
As with any surgical procedure, there are potential risks and complications associated with AC joint resection, including infection, bleeding, nerve damage, and limited improvement in symptoms.
It's important to have a thorough discussion with an orthopedic surgeon to determine if AC joint resection is the right option for treating your specific condition. The surgeon will consider your medical history, the severity of your arthritis, and other factors to make an informed recommendation.
Remember that surgery is not always the first line of treatment for arthritis, and non-surgical options should be explored and exhausted before considering surgery. If you are experiencing shoulder pain or other symptoms related to AC joint arthritis, consult with a medical professional to receive proper evaluation, diagnosis, and treatment recommendations tailored to your needs.
Ask your primary care doctor for a referral to an orthopaedic surgeon, or book an appointment online.