Duplication of the clavicle.
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Rotator cuff impingement symptoms may arise from intrinsic pathologic shoulder lesions related to instability or from extrinsic factors, primarily involving the coracoacromial arch. This report describes 2 unusual cases in which extrinsic impingement resulted from a distal clavicular osteochondroma. In both cases symptoms resolved after resection of the osteochondroma.
During 20 years the authors observed 861 patients with dislocations of the clavicular acromial process, that made 14% in relation to all other types of dislocations. 252 patients (29.3%) were treated surgically. Capron tapes being used most frequently as an alloplastic material. Surgery was performed after the technic elaborated at the clinic. Late results of the treatment were studied in 202 patients within the terms from 1 to 15 years. Good issues were noted in 76.2%, satisfactory in 37%, poor in 5.5% of patients.
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