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Shoulder

AC Joint Osteoarthritis Surgical Treatments

What are the surgical options for AC joint osteoarthritis?

If non-surgical treatment options are ineffective, an arthroscopic shoulder surgery may be recommended as the next treatment step. During this surgery, a procedure called a distal clavicle excision will be performed. A distal clavicle excision (DCE) is the surgical resection of the distal (lateral) end of the clavicle. The AC joint is the only joint in the body in which additional joint space can be added in such a procedure. By resecting the distal clavicle and creating more joint space within the AC joint, patients should notice a decrease in pain and inflammation. In the majority of cases, this procedure allows for restoration of normal motion and function of the AC joint.

How long is the recovery after a Distal Clavicle Excision?

The recovery period after a distal clavicle excision can vary depending on if any additional procedures, such as a biceps tenodesis or rotator cuff repair, were performed. However, the following is a general timeline for the recovery process after an isolated DCE:

In the first 2 weeks after surgery, you will typically wear a sling to immobilize the shoulder and protect the surgical site. You may experience pain and discomfort, for which pain management medications will be prescribed.

During this period, you will begin physical therapy and gradually increase the range of motion exercises. You will work on strengthening exercises to regain muscle tone and stability around the AC joint. Depending on the type of surgery, you may start to engage in more specific exercises targeting your shoulder’s functional movements. The sling will likely be discontinued at 2 weeks post-op.

By this point, Physical therapy will continue with a focus on regaining strength, stability, and function. You may begin to resume some light activities and sports under the guidance of Dr. Chahla and your physical therapist.

Most patients can expect significant improvement in their shoulder’s strength and range of motion during this phase. Gradual return to sports or activities with full participation may be possible between 4-6 months following surgery, depending on your progress and Dr. Chahla’s recommendations. Ongoing exercises and rehabilitation are essential to optimize recovery and minimize the risk of re-injury.

If AC joint osteoarthritis progresses to the point where non-surgical treatments are no longer effective, surgical intervention may be necessary. AC joint resection surgery, also known as distal clavicle excision, removes the damaged portion of the joint to relieve pain and restore function. Dr. Jorge Chahla specializes in minimally invasive shoulder surgery to help patients regain mobility and reduce discomfort. If you are considering surgical treatment for AC joint osteoarthritis, schedule an appointment with Dr. Chahla in Chicago, Naperville, or Oak Brook to discuss your options.

At a Glance

Dr. Jorge Chahla

  • Triple fellowship-trained sports medicine surgeon
  • Performs over 700 surgeries per year
  • Associate professor of orthopedic surgery at Rush University
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