Clinical Outcome After Reconstruction for Sternoclavicular Joint Instability Using a Sternocleidomastoid Tendon Graft

Uri, Ofir; Barmpagiannis, Konstantinos; Higgs, Deborah; Falworth, Mark; Alexander, Susan; Lambert, Simon

doi:10.2106/jbjs.m.00681

Cited by 35 publications

(59 citation statements)

References 28 publications

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“…2,9,22,33 Briefly, the patient was placed in a supine position and prepared and draped (left shoulder and anterior chest), with the assistance of a cardiothoracic surgeon; a slightly angled transverse incision was made from the medial aspect of the clavicle to the manubrium. This area was then dissected, and the platysma was incised and raised, followed by elevation of periosteum off of the clavicle.…”

Section: Surgical Techniquementioning

confidence: 99%

Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

Sabatini

Shung

Clay

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Surgical Techniquementioning

confidence: 99%

Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

Sabatini

Shung

Clay

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…An increasing number of studies have recommended several techniques for SCJ reconstruction, such as the figure-of-eight technique [13], tendon of the sternocleidomastoid muscle grafting [14], and sternocleidomastoid tendon grafting [15]. For patients with SCJ infection, SCJ debridement should be conducted first.…”

Section: Discussionmentioning

confidence: 99%

A three-stage procedure using bone transportation for the treatment of sternoclavicular infectious arthritis

Chen¹,

Ji²,

Hao³

et al. 2016

J Orthop Surg Res

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BackgroundSternoclavicular joint (SCJ) infectious arthritis is a rare disease. A standard treatment for SCJ infection has not been established. This study aimed to assess the clinical outcomes of a three-stage procedure with bone transportation (BT) for treating SCJ infectious arthritis.MethodsSix patients (mean age 39.5 years) with chronic SCJ infectious arthritis were included in the study. The patients underwent a three-stage treatment between January 2009 and December 2012, and results were analyzed retrospectively. Following debridement, immediate flap closure was conducted, and BT of the clavicle was performed to fill the gap using a monolateral external fixator. SCJ reconstruction with a tendon autograft was performed, and the external fixator was finally removed. Clinical outcomes were evaluated using Disabilities of the Arm, Shoulder, and Hand (DASH) scores and Constant scores. The average follow-up period was 16 months (range 12–36 months).ResultsThe DASH scores decreased from 53.6 ± 4.9 preoperatively to 24.4 ± 3.1 postoperatively. The Constant scores for pain, activity level, positioning, strength, and range of motion were significantly high after the treatment. The total Constant score improved from 32.5 ± 5.8 preoperatively to 76.7 ± 6.4 postoperatively. All patients were satisfied with the therapeutic effect. No complications occurred.ConclusionsThe three-stage procedure with BT improves shoulder function and movement and relieves pain. It is an effective and safe method for treating SCJ infectious arthritis.

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“…However, owing to the concern for vascular compromise it may be advantageous to further develop techniques that avoid anterior to posterior drilling. A recent study using sternocleidomastoid tendon graft had promising clinical results and requires only superior to inferior drilling of the medial clavicle [27]. In addition, several studies have had good clinical outcomes for medial clavicle resection when instability is present in conjunction with osteoarthritis [15,17,23].…”

Section: Discussionmentioning

confidence: 99%

Does Patient Sex Affect the Anatomic Relationships Between the Sternoclavicular Joint and Posterior Vascular Structures?

Merriman

Villacis

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Despite increased concern for injury during surgical reconstruction of the sternoclavicular joint, to our knowledge there are few studies detailing the vascular relationships adjacent to the joint. Questions/purposes We investigated sex differences in the following relationships for sternoclavicular joint reconstruction: (1) safe distance from the posterior surface of the medial clavicle's medial and lateral segments to the major vessels, (2) length of the first costal cartilage and safe distance from the first rib to the internal mammary artery, (3) minimum distance medial to the sternoclavicular joint for optimal hole placement, and (4) safe distance from the manubrium to the great vessels.Methods Fifty normal postcontrast CT scans of the chest were reviewed. Means, standard deviations, and 95% CI were calculated for each aforementioned measurement. A t-test was used to determine if a sex difference exists (p B 0.05).

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Clinical Outcome After Reconstruction for Sternoclavicular Joint Instability Using a Sternocleidomastoid Tendon Graft

Abstract: Sternoclavicular joint reconstruction using a sternocleidomastoid tendon graft is safe and offers reliable pain relief and functional improvement for patients with chronic debilitating anterior instability of the sternoclavicular joint.

Cited by 35 publications

References 28 publications

Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

A three-stage procedure using bone transportation for the treatment of sternoclavicular infectious arthritis

Does Patient Sex Affect the Anatomic Relationships Between the Sternoclavicular Joint and Posterior Vascular Structures?

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