Severe and Rapid Post-Traumatic Osteolysis of the Distal Clavicle in a College Athlete: A Case Report and Review of the Literature

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Author Info

Brian M. Grawe Katharine Schuyler Nissen Yehia H. Bedeir

Corresponding Author

Katharine Schuyler Nissen
University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, USA

A B S T R A C T

Case Report: A 21-year-old female college athlete presented with continually worsening distal clavicle osteolysis. After conservative management and significant activity modification failed to resolve pain, surgical management was considered. Instability in the sagittal plane was believed to contribute to her persistent pain. Surgical management included acromioclavicular (AC) ligament reconstruction, in addition to the standard distal clavicle excision. Conclusion: Horizontal instability in the AC joint may contribute to the failure of conservative treatment in patients with distal clavicle osteolysis. If surgical management is considered, AC ligament reconstruction, in addition to the standard distal clavicle excision, may provide additional benefit in functional outcomes.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Mon 18, May 2020
Accepted: Wed 03, Jun 2020
Published: Fri 12, Jun 2020

Copyright

© 2023 Katharine Schuyler Nissen. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.06.09