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Distal Clavicle Excision is a surgical technique for treating persistent pain and limited movement in the shoulder, often caused by joint wear near the end of the collarbone. It is usually considered when other treatments, such as medication, rest, or physical therapy, haven’t provided enough relief.
This procedure removes a small portion of the collarbone closest to the shoulder. This creates space in the joint, which helps reduce pressure, irritation, and pain. The operation can be done using small incisions and a camera (arthroscopy), allowing quicker and smoother recovery.
After surgery, the shoulder may be supported with a sling for a short time. As healing progresses, gentle exercises and physiotherapy are introduced to rebuild strength and movement. With time and care, most patients notice a significant improvement in comfort and daily function.
Distal clavicle excision is performed to treat persistent pain and dysfunction in the acromioclavicular (AC) joint, typically caused by osteoarthritis, trauma, or chronic overuse. The procedure involves removing a small portion of the outer (distal) end of the clavicle (collarbone) to eliminate bone-on-bone contact and reduce inflammation, thus restoring shoulder function and relieving pain.It is commonly done when conservative treatments like rest, physical therapy, anti-inflammatory medications, and steroid injections fail to provide lasting relief.
You should consult an orthopaedic specialist if you experience:
- Chronic pain at the top of the shoulder
- Discomfort with overhead activities
- Pain during cross-body arm movements
- Swelling or tenderness over the AC joint
- Reduced range of motion
- Clicking or grinding sensations in the joint
Preoperative preparation includes:
- A complete shoulder examination by an orthopaedic surgeon
- Imaging studies like X-rays or MRI to assess AC joint degeneration and rule out other causes
- Medical clearance and routine blood tests, ECG (if needed
- Instructions regarding medications to avoid before surgery (e.g., blood thinners)
- Fasting for 6–8 hours if general anaesthesia is planned
There are two primary approaches:1. Arthroscopic Excision (Minimally Invasive):
- Small incisions are made, and a tiny camera (arthroscope) is inserted.
- Special instruments are used to remove 5–10 mm of the distal clavicle.
- This method results in less tissue damage, faster recovery, and minimal scarring.
- A larger incision is made directly over the AC joint.
- The surgeon removes the diseased portion of the clavicle manually.
- This is used in complex or revision cases.
- Arthroscopic excision: About 30–60 minutes
- Open surgery: Typically 60–90 minutes
- Most patients return home the same day (outpatient procedure)
- Initial healing takes a few weeks, but full functional recovery may take 6–12 weeks, depending on activity level
- Infection
- Bleeding or hematoma
- Injury to the surrounding nerves or blood vessels
- Shoulder stiffness or limited motion
- Persistent pain or incomplete symptom relief
- Rarely, joint instability or weakness
- Significant pain relief
- Improved shoulder mobility and strength
- Faster return to work and sports
- Minimally invasive options are available with quicker recovery
- Reduced inflammation and joint degeneration
- Significant pain relief
- Improved shoulder mobility and strength
- Faster return to work and sports
- Minimally invasive options are available with quicker recovery
- Reduced inflammation and joint degeneration
Distal clavicle excision has a high success rate (over 90%) in relieving AC joint pain and restoring shoulder function. Long-term outcomes are excellent, especially in patients without extensive surrounding tissue damage. Athletes and physically active individuals often return to pre-symptom levels of activity with minimal restrictions.
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Jaypee Hospital
Noida, India
Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- 525 beds in the first phase
- 150 Critical Care beds
- 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
- 18 Modular OTs
- 4 Cardiac Catheterization Lab with unqie Hybrid Operating Room
- 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
- 2 Linear Accelerator (IMRT, VMAT, I
- GRT), Wide Bore CT Simulator, one Brachytherapy Suite
- True Beam STx Linear Accelerator
- 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
- 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
- 256 Slice CT Scan, CT Simulation
- Amongst the few GOLD LEED-certified hospital buildings in India
- Appointment Scheduling
- Flow motion 64 Slice PET CT technology
- Pick and drop facility from/to the Airport
- Foreign exchange facility
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- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant after discharge
- Tele-consults after discharge
- Dedicated Guest House for International Patients maintained by Jaypee Hospital
- In-house translators for patient’s comfort
- Assistance in getting doctor’s opinion
- Registration with the Foreigners Regional Registration Office
- Accommodation arrangements after discharge
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Dialysis facility for 60 patients
- Cadaver organs
- Blood bank facilities
- Advanced Laboratory facilities
- Diagnostic and Radiology facilities
- High-end Ultrasound facilities
Fortis Hiranandani Hospital
Mumbai, India
- Fortis Hiranandani Hospital, Vashi, Navi Mumbai, is a leading NABH-accredited multi-super speciality hospital offering advanced tertiary care with over 150 beds.
- The hospital is known for clinical excellence in Cardiac Sciences, Oncology, Neurology, Orthopaedics, Organ Transplants, Urology, Gastroenterology, and Critical Care.
- With a strong team of experienced doctors, modern medical technology, and international patient services, the hospital provides comprehensive and patient-focused treatment.
- It maintains high standards of safety, hygiene, and quality care, making it a trusted healthcare destination in the Mumbai Metropolitan Region.
Fortis Hospital, Shalimar Bagh
Delhi, India
4.5 ( 4 Reviews )
- Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
- The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
- Equipped with cutting-edge technology like the Da Vinci Surgical Robot, PET-CT Scanner, and CORI Robotic System, the hospital is recognised for excellence in treatment outcomes, patient comfort, and multidisciplinary care, making it a trusted destination for both domestic and international patients.
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
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- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
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- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
- Gastroenterology
- Integrated Liver Care
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- Child & Adolescent Health
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Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
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Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
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Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
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Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
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- 400,000 patients
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Max Smart Super Speciality Hospital
Delhi, India
3.9 ( 2 Reviews )
- Max Smart Super Speciality Hospital, Saket, New Delhi, is a 250-bed tertiary care hospital known for advanced medical technology and patient-centred care.
- The hospital offers services across 22+ specialities, including Cardiac Sciences, Orthopaedics, Urology, Neurology, Neurosurgery, Paediatrics, Obstetrics, and Gynaecology.
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+99Process Involved for Distal Clavicle Excision (resection)
Treatment Stages for Distal clavicle excision (resection) are:-
- Initial Evaluation: The doctor examines your shoulder, reviews imaging, and discusses symptoms to decide if surgery is needed.
- Pre-Surgery Preparation: Basic tests are done, and you're given guidance on preparing for the procedure.
- Surgical Procedure: The damaged end of the collarbone is carefully removed to reduce pain and improve shoulder movement.
- Post-Surgery Care: You're monitored for pain and healing. During the initial recovery phase, a sling supports the shoulder.
- Rehabilitation: Physical therapy starts gradually to restore mobility and build strength in the shoulder.
- Follow-Up: Regular check-ins ensure proper healing and help adjust the rehab plan.
- Shoulder Impingement Syndrome : Persistent pinching of tendons or bursa near the shoulder joint causes pain and limited motion.
- Acromioclavicular (AC) Joint Arthritis : Degeneration of the joint between the collarbone and shoulder blade, often resulting in pain during overhead movements.
- Osteolysis of the Distal Clavicle : Also known as "weightlifter's shoulder," this condition involves bone loss at the end of the collarbone due to repetitive stress.
- Post-Traumatic Joint Pain : Ongoing pain or limited movement after a previous shoulder injury or fracture near the AC joint.
- Chronic AC Joint Inflammation : Long-standing swelling or irritation that doesn't respond to non-surgical treatments
- Eligibility Assessment: This surgery is considered for individuals suffering from ongoing shoulder pain due to conditions like arthritis or bone spurs. It's generally recommended when non-surgical treatments, such as physical therapy or medications, don't relieve symptoms.
- Surgical Procedure: A small incision is made near the affected shoulder, allowing the surgeon to access the collarbone. The portion causing pain is carefully removed to improve shoulder mobility and reduce discomfort. In some cases, minimally invasive techniques might be used for a quicker recovery.
- Additional Bone or Tissue Removal: During the procedure, the surgeon may also remove any bone spurs or damaged tissue that could be causing further irritation in the shoulder joint. This helps restore smoother motion and reduces inflammation.
- Closure and Immobilisation: After the procedure, the incision is closed, and a protective dressing is applied. The patient is typically instructed to wear a sling or immobiliser for a specific period to keep the shoulder stable while healing.
- Post-Surgery Rehabilitation: Rehabilitation is key to recovery, beginning with gentle exercises to restore flexibility. As the shoulder heals, physical therapy helps rebuild strength and range of motion. Full recovery typically occurs over several months.
- Arthroscopy
- Debridement
- Synovectomy
- Bursectomy
- Reconstruction
- Labralrepair
- Acromioplasty
Benefits of Distal clavicle excision (resection) include:
- Pain Relief: The surgery reduces chronic pain in the shoulder caused by joint irritation or degeneration.
- Restored Functionality: Patients often regain shoulder strength and can return to regular tasks more comfortably.
- Improved Mobility: It enhances the shoulder’s range of motion, making lifting, reaching, and other movements easier.
- Better Joint Alignment: The procedure corrects joint irregularities, improving stability and overall shoulder mechanics.
- Reduced Inflammation: Removing bone spurs and damaged tissue helps ease swelling and irritation in the AC joint.
- Faster Recovery: When done arthroscopically, it allows for smaller incisions, quicker healing, and minimal scarring.
- Prevents Joint Deterioration: Early intervention can avoid worsening damage to the acromioclavicular joint over time.
The following are the treating team members for Distal clavicle excision (resection):
- Orthopedist
- Surgeon
- Specialist
- Consultant
- Therapist (for rehab)
- Physiotherapist (post-op care)
- Fill out the inquiry form: Please complete the form to provide us with relevant information about your condition.
- Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
- Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
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