Mumford procedure

Mumford Procedure is a surgical procedure that involves the removal of a portion of the distal clavicle (the end of the collarbone closest to the shoulder). This procedure is typically performed to alleviate pain and discomfort associated with conditions such as osteoarthritis, rheumatoid arthritis, or distal clavicular osteolysis (DCO).

Indications

The Mumford procedure is indicated for patients who have persistent shoulder pain due to arthritis or injury that has not responded to conservative treatments such as physical therapy, non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections. It may also be indicated for patients with DCO, a condition often seen in weightlifters and other athletes who place heavy stress on their shoulders.

Procedure

During the Mumford procedure, the surgeon makes an incision over the shoulder to expose the distal clavicle. The damaged portion of the clavicle is then removed, and the remaining bone is smoothed to prevent irritation of the surrounding tissues. The procedure can be performed as an open surgery or arthroscopically, using a small camera and specialized instruments.

Recovery

Following the Mumford procedure, patients typically wear a sling for a few weeks to protect the shoulder and allow the tissues to heal. Physical therapy is often recommended to restore strength and range of motion in the shoulder. Most patients can return to their normal activities within three to six months.

Risks and Complications

As with any surgical procedure, the Mumford procedure carries potential risks and complications. These may include infection, bleeding, nerve damage, and complications related to anesthesia. There is also a risk that the procedure may not fully alleviate the patient's pain, or that the pain may return over time.

See Also

• Arthroscopy
• Osteoarthritis
• Rheumatoid arthritis
• Distal clavicular osteolysis