AANA Shoulder Arthroscopy - August 2024-Mumford Procedure_ How Much is Enough

Mumford Procedure_ How Much is Enough_ Technical Pearls for Success

Video Transcription

Video Summary

Dr. Christopher Eugen from Borges Orthopedic Clinic discusses arthroscopic distal clavicle resection combined with rotator cuff repair. Studies suggest no significant difference in outcomes when combined, but resection may benefit cases with hypertrophic AC joint arthritis and inferior spurring. Ideal resection is 8-10 mm to balance pain relief and stability, preserving the posterior superior capsule to maintain joint stability. Technical tips include ensuring portal alignment, thorough resection of the anterior capsule, and careful medial acromion removal depending on AC joint obliquity. Using an egg burr over a barrel burr can enhance surgical maneuverability. Imaging aids identification of hypertrophy and guides resection extent.

Asset Caption

Christopher Uggen, MD

Keywords

arthroscopic distal clavicle resection

rotator cuff repair

hypertrophic AC joint arthritis

posterior superior capsule preservation

surgical technique tips