Stabilization Procedures for Instability of the Sternoclavicular Joint
Research output: Chapter in Book/Report/Conference proceeding › Book chapter › Research › peer-review
Instability of the sternoclavicular joint is most often anterior, but can be superior, and is either developmental in teen-agers or post-traumatic. Symptomatic cases have painful dislocations of the medial clavicle end when the arm is in abduction, extension, and outward rotation. The effect of non-surgical treatment is undocumented. Surgery is based on stabilization of the joint with a tendon graft (usually gracilis or semitendinosus). We prefer a technique by which the intra-articular disc is spared, which is also appropriate in young persons with an active epiphysis. The tendon is fixed to sternum in a drill tunnel and the clavicle is stabilized by a V-shaped reconstruction through two drill tunnels in the clavicle. The risk of re-instability after the procedure is about 15%.
Original language | English |
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Title of host publication | Arthroscopy and Endoscopy of the Shoulder : Principle and Practice |
Number of pages | 4 |
Publisher | Springer Nature |
Publication date | 2023 |
Pages | 413-416 |
ISBN (Print) | 9789811978838 |
ISBN (Electronic) | 9789811978845 |
DOIs | |
Publication status | Published - 2023 |
Bibliographical note
Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023.
- Instability, Intra-articular disc, Reconstruction Stabilization, Sternoclavicular joint, Tendon graft
Research areas
ID: 371471508