Distal Clavicle Resection
Moderate strength evidence supports the use of distal clavicle resection as a concomitant treatment to arthroscopic repair for patients with full-thickness rotator cuff tears and symptomatic acromioclavicular joints.


Two studies (Oh, J. 2014 and Park, Y. 2015) showed no difference in patients with and without distal clavicle resection. One study (Oh) included patients with symptomatic AC joint arthrosis, and while the outcomes were the same, a distal clavicle resection resulted in symptomatic instability in a small number.

Another study (Kim, J. 2011) studied the use of DCR in asymptomatic AC joint arthrosis however, this study may not be generalizable to most patients as this included patients with asymptomatic AC joints with inferior spurs.

Risks and Harms of Implementing this Recommendation
There is no known harm to patients by implementing this recommendation, but there could potentially be a slightly higher reoperation rate on patients who did not undergo the concomitant procedures.

Future Research
Future research could be performed to elucidate risk factors for reoperation rates in certain groups who did not undergo concomitant procedures.


The Future of OrthoGuidelines


The OrthoGuidelines Process