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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.
Modern variations of the procedure may use additional fixation methods to better stabilize the distal clavicle end as the original construction is rather weak compared to the unharmed shoulder. Even with these modifications, the modern surgeries do not match intact coracoclavicular ligament strength in cadaveric testing. [ 3 ]
If it becomes severe, the Mumford procedure or distal clavicle excision can be performed. [ citation needed ] Most non-surgical treatment options include first immobilizing the arm with a sling for approximately 2 weeks followed by gradually improving shoulder movement using physical therapy to build up the muscles and help stabilize the joint.
The recovery depends upon many factors, including where the tear was located, how severe it was, and how good the surgical repair was. [ citation needed ] It is believed that it takes at least four to six weeks for the labrum to re-attach itself to the scapula bone (shoulder blade), and probably another four to six weeks to get strong.
Surgery may be done arthroscopically or as open surgery. The impinging structures may be removed in surgery, and the subacromial space may be widened by resection of the distal clavicle and excision of osteophytes on the under-surface of the acromioclavicular joint. [4] Damaged rotator cuff muscles can be surgically repaired.
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In 1941 Mumford patented a procedure for distal clavical resection or acromioplasty commonly known as The Mumford Procedure, named in the surgeon's honor. [7] The surgery aims to relieve shoulder pain by removing a small part of the clavicle, or collar bone.
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