Sternoclavicular Joint Reconstruction With Gracilis Tendon Autograft

Sternoclavicular Joint Reconstruction With Gracilis Tendon Autograft

Clinical instability of the sternoclavicular (SC) joint is a challenging problem. Recurrent subluxation and pain can lead to significant functional limitations. Although many patients respond positively to conservative treatment, chronic dislocations often require operative intervention. The complex...

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Bibliographic Details
Main Authors: John M. Apostolakos, M.D., M.P.H., Toufic R. Jildeh, M.D., Rony-Orijit Dey Hazra, M.D., Maria E. Dey Hazra, M.D., Peter S. Chang, M.D., Annabel R. Geissbuhler, B.S., Joan C. Rutledge, B.S., Peter J. Millett, M.D., M.Sc.
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723000993
Description
Summary:Clinical instability of the sternoclavicular (SC) joint is a challenging problem. Recurrent subluxation and pain can lead to significant functional limitations. Although many patients respond positively to conservative treatment, chronic dislocations often require operative intervention. The complex anatomy of the diarthrodial SC joint and the existence of concomitant SC joint degenerative changes compounded with close-by neurovascular structures present a surgical challenge. The purpose of this Technical Note is to describe a technique for the open management of symptomatic sternoclavicular joint instability using a figure-of-8 reconstruction with a gracilis autograft. The present authors believe this technique provides a technically safe and reproducible method for reconstructing the SC joint without compromising biomechanical strength.
ISSN:2212-6287

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