{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T15:16:13Z","timestamp":1787930173573,"version":"build-2784847793"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aims of this review were to map the literature for risk factors, clinical and radiographic features of atraumatic distal clavicular osteolysis (ADCO) and indications for surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review using PRISMA-ScR guidelines. Four electronic databases [CINAHL, Emcare (Ovid), PubMed, and Scopus] were searched for cohort studies involving ADCO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight studies were included with data on 483 patients. Bench pressing was the most common activity-based risk factor (49.1%) following by general\/unspecified weight training (24.4%). Frequency and intensity of loading were noted as potential risk factors for onset of ADCO. The most common reported symptoms were distal clavicle\/acromioclavicular joint (ACJ) pain (69.9%). Imaging features included marrow oedema and subchondral fracture of the distal clavicle on MRI. Most patients recovered with conservative care, but 16% required surgery due to failure of conservative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical signs and symptoms for ADCO were not distinguishable from other shoulder pathologies. Primary contact clinicians may benefit from consideration of sporting and loading patterns when assessing patients with ACJ pain. MRI was the most frequently utilised imaging modality but should be taken in context with clinical examination. Surgical referral resulted in largely favourable outcomes following resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732261479715","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:09:39Z","timestamp":1787584179000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors and management of atraumatic distal clavicular osteolysis: A scoping review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7072-9644","authenticated-orcid":false,"given":"Michael","family":"Wilkinson","sequence":"first","affiliation":[{"name":"Central Queensland University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7114-9806","authenticated-orcid":false,"given":"Nathan","family":"Groch","sequence":"additional","affiliation":[{"name":"Central Queensland University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9999-0128","authenticated-orcid":false,"given":"Carrie-Anne","family":"Freestone","sequence":"additional","affiliation":[{"name":"Central Queensland University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4753-7095","authenticated-orcid":false,"given":"Archie","family":"Clements","sequence":"additional","affiliation":[{"name":"Central Queensland University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4299-9628","authenticated-orcid":false,"given":"Steven","family":"Obst","sequence":"additional","affiliation":[{"name":"Central Queensland University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264070-00015"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-66868-9_53"},{"key":"e_1_3_2_4_2","first-page":"199","article-title":"Management of acromioclavicular osteoarthritis in rotator cuff tears: a scoping review","volume":"7","author":"Compagnoni R","year":"2021","unstructured":"Compagnoni R, Stoppani C, Menon A, et al. Management of acromioclavicular osteoarthritis in rotator cuff tears: a scoping review. Joints 2021; 7: 199\u2013204.","journal-title":"Joints"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-006-0209-y"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-023-01962-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/17479541241244481"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1249\/FIT.0000000000001110"},{"key":"e_1_3_2_9_2","first-page":"1002","article-title":"Shoulder injury prevention exercise programs in overhead athletes: a brief review","volume":"1","author":"Hadjisavvas S","year":"2024","unstructured":"Hadjisavvas S. Shoulder injury prevention exercise programs in overhead athletes: a brief review. J Phys Ther Rehabil 2024; 1: 1002\u20131006.","journal-title":"J Phys Ther Rehabil"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2020200039"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.5875"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20161128-03"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_2_14_2","volume-title":"EndNote. EndNote 20 ed","author":"EndNote Team","year":"2013","unstructured":"EndNote Team. EndNote. EndNote 20 ed. Clarivate, 2013."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-24-06"},{"key":"e_1_3_2_16_2","first-page":"2127","article-title":"Methodological quality of case series studies: an introduction to the JBI critical appraisal tool","volume":"18","author":"Munn Z","year":"2020","unstructured":"Munn Z, Barker TH, Moola S, et al. Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. JBI Manual Evidence Syn 2020; 18: 2127\u20132133.","journal-title":"JBI Manual Evidence Syn"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264070-00015"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1067\/mmt.2001.115260"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199501000-00018"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050501"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-2092-2"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-016-2446-z"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-006-0209-y"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000418"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2024.1393235"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(02)00104-7"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1519\/00126548-200710000-00001"},{"key":"e_1_3_2_29_2","first-page":"222","article-title":"Effects of variations of the bench press exercise on the EMG activity of five shoulder muscles","volume":"9","author":"Barnett C","year":"1995","unstructured":"Barnett C, Kippers V, Turner P. Effects of variations of the bench press exercise on the EMG activity of five shoulder muscles. J Strength Cond Res 1995; 9: 222\u2013227.","journal-title":"J Strength Cond Res"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513485359"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00105"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05935-0"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2018.1413920"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-05378-4"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738118757197"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200404000-00021"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-156"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.185601"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.09.006"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181e892da"}],"container-title":["Shoulder &amp; Elbow"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17585732261479715","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17585732261479715","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17585732261479715","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:16:17Z","timestamp":1787926577000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17585732261479715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":39,"alternative-id":["10.1177\/17585732261479715"],"URL":"https:\/\/doi.org\/10.1177\/17585732261479715","relation":{},"ISSN":["1758-5732","1758-5740"],"issn-type":[{"value":"1758-5732","type":"print"},{"value":"1758-5740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]},"article-number":"17585732261479715"}}