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The Mumford procedure, also known as distal clavicle excision or distal clavicle resection, is an orthopedic procedure performed to ameliorate shoulder pain and discomfort by excising the distal (lateral) end of the clavicle.
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Distal Clavicle Excision, or Mumford Procedure, is used to treat painful shoulder impingement. Learn more and see if this could help relieve your pain!
- Week 1
- Weeks 2 – 4
- Weeks 4 – 8
- Weeks 8 – 12
- Week 12 and Beyond
MD visit Day 1 post-op to change dressing and review home programPostural educationExercises (3 times per day):Clinic visit at 14 days post-op for suture removal and check-upUse of strapping tape for secondary AC compression and support (optional)Soft tissue treatment for associated shoulder and neck musculature for comfortPNF for elbow and wrist flexion and extension, scapular isometrics with manual resistanceMD visit at Week 4 post-op and will usually be progressed to a more aggressive ROM and strength programAt Week 4: Start mid-range of motion (ROM) rotator cuff external and internal rotations active and light resistance exercises (through 75% of ROM as patient’s symptoms permit) without shoulder elev...Strive for progressive gains to 90º of shoulder flexion and abductionSeek gentle full shoulder ROM in all planes--especially with flexion, abduction, external rotation and internal rotationIncrease manual mobilizations of soft tissue as well as glenohumeral and scapulothoracic joints for ROMExercises: Wand exercises, ROM shoulder pulleys, scapular training (rows, protractions, lower trapezius work, etc), PNFNo overhead liftingStart a more aggressive rotator cuff program as toleratedStart progressive resistance exercises with weights as toleratedContinue to seek full shoulder range of motion in all planesIncrease the intensity of strength and functional training for gradual return to activities and sportsDistal clavicle excision, also called distal clavicle resection or the Mumford procedure, is a minimally invasive procedure aimed at alleviating persistent pain caused by shoulder impingement or arthritis.
DISTAL CLAVICLE EXCISION (Mumford procedure) A minimally invasive shoulder surgery, Distal Clavicle Excision works to decompress the joint. A shoulder surgeon removes the distal end of the clavicle, nearest to the acromioclavicular (AC) joint, to relieve pain and increase range of motion lost from shoulder arthritis or shoulder impingement.
Distal Clavicle Resection (Mumford Procedure) An arthroscopic procedure performed to relieve symptoms caused by arthritis of the acromioclavicular (AC) joint. Through 2 or 3 small incisions around the shoulder soft tissue in the AC joint is removed.
Jan 16, 2021 · Pathology of the acromioclavicular joint is common and often resistant to conservative treatment, requiring distal clavicle excision for definitive relief. First described as an open technique by Mumford and Gurd in 1941, distal clavicle excision has evolved greatly, with arthroscopic techniques currently predominating.
