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Autograft Reconstruction for Sternoclavicular (SC) Joint Instability

January 01, 2013

Contributors: Frank Martetschlager, MD; Peter J Millett, MD, MSc, FAAOS; Peter J Millett, MD, MSc, FAAOS

Keywords: Bony Procedure

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Instability of the sternoclavicular (SC) joint is a rare condition that can lead to chronic pain and impairment of shoulder function. Anterior SC joint dislocations are most commonly treated conservatively, showing a low risk of sequelae. However, a surgical treatment might become necessary in patients with posterior dislocation or symptomatic chronic anterior SC joint instability. Many operative surgical procedures have been described, but a gold standard technique still needs to be defined. Biomechanical studies support reconstruction with a graft, which has become popular in recent years. In this video, we present a reliable and safe technique for SC joint stabilization using a gracilis tendon autograft. The tendon is passed through drill holes in the sternum and the medial clavicle using a figure-of-eight configuration. During the procedure, we show important steps that must be considered to avoid severe complications. Additionally, we provide a current review of anterior SC instability and its treatment.

Results for "Complications"

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