Re: AC joint and possible distal clavicle resection
Depends what you ACTUALLY have... after the MRI and bone scan.
I'm not too big a fan of surgery either though. if it's just bad AC joint aggravation stemming into arthritis... I'd go with lots of fish oil + right eating + RC work at first.
Basically let everything calm down... then work on stabilizing AC joint. Pretty much the same thing you would do for any of the AC joint sprain/tears.