Distal Clavicle Excision

What is it?

Distal Clavicle Excision is a procedure used to treat impingement in the shoulder. Shoulder impingement is a painful condition in which the space between structures in a joint narrows, causing parts to rub or pinch that normally would not, which is very painful for the patient.

Risks of the Procedure

As with any surgical procedure infection is a risk factor. With a distal clavicle excision risk factors also include should joint stiffness or tenderness, pain, scarring, limited range of motion in the shoulder and shoulder instability.

What to Expect

After Procedure

Some activity can be resumed about a week after surgery, but strenuous activity will have to be avoided for approximately one month. Resting the joint and applying ice will assist in the recovery process.

Discharge Instructions

Diet

You may resume your regular diet. However, start slow with clear liquids and gradually work your way back to your normal diet. This will help prevent nausea and vomiting.

Shoulder Care & Bathing

Keep your dressing and sling in place until your first post-op visit unless instructed otherwise
Dressing will be changed at your first post-op appointment
Tegaderm dressing will be placed which will allow you to shower immediately
No bath or swimming until the bandages are removed
If the tegaderm dressings become loose or fall off replace with over the counter water proof bandages
Keep incision dry until sutures are removed

Elevation and Circulation

Elevate as much as possible for the first 3-5 days; you can achieve this by being seated in a comfortable postion; having extra pillows to support your body, a pillow wedge and/or a recliner are some ways to help you stay relaxed for the first few weeks.
After these first few days, continue to elevate as needed in order to reduce swelling.
To encourage circulation and decrease swelling, wiggle your fingers, thumb and wrist several times each hour.

Cold Therapy

To help reduce pain and swelling, apply an ice pack to the surgical area for 20 to 25 minutes every one to two hours for the first 48 hours and then as needed to help control pain and swelling.
To avoid frostbite, place a towel or t-shirt between the ice pack and your skin.
It is not necessary to use ice while sleeping.
We recommend the use of a cold therapy unit, which is often an out of pocket expense. The advantage of this unit is that the temperature can be regulated, allowing for continuous use for several hours at a time.

Pain Medication

Your physician will give you a written prescription for pain medicine as you leave the surgery center. Take your pain medication as prescribed. You may want to take it regularly for the first 48 hours after surgery. Do not take any additional Tylenol.
While you are asleep in the operating room, a long acting numbing medication may be injected into the surgical area to help relieve your immediate postoperative discomfort for up to 24 hours. When you first notice tingling or throbbing, begin taking your pain medicine so it will become effective before the local anesthesia wears off.
No driving while taking any narcotic pain medication!
The pain medication may cause some nausea so take it with food.
The pain medication and general anesthesia may also cause constipation, so you may need to take a stool softener, fiber bar, Metamucil or prune juice to prevent constipation.

Follow-up Care

Watch for temperature > 101.5F, persistent numbness and tingling, persistent bleeding or drainage from the wound, foul odor, progressively worsening pain that is unresponsive to pain medication, chest pain or difficulty breathing. If you have any of these symptoms, call the office if during normal business hours or go to the nearest emergency room.
Please make sure to follow instructions given to you by your physician, they may have specific instructions to your care.
If you do not have a postoperative appointment set-up already, please call the office to schedule an appointment for 7-10 days after surgery at (785)843-9125.