Sternoclavicular Joint Anatomy and Pathology

O’Sullivan, Michael; Yang, Jenq-Lin; Barden, Benjamin; Singh, Hardeep; DiVenere, Jessica; Mazzocca, Augustus D.

doi:10.1007/978-3-662-45719-1_19

Cited by 3 publications

(3 citation statements)

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“…Traumatic and atraumatic instability of the sternoclavicular joint (SCJ) may be successfully managed, when indicated by intrusive symptoms, by a combination of rehabilitation, 1 nonsurgical intervention for pain 1,2 and surgery. [3][4][5][6][7][8][9][10] Arthritis of the SCJ is relatively rare, 11 more often developing spontaneously in late middle-aged females 12 and after trauma if subluxation persists or recurs, 13,14 particularly if there is articular or periarticular fracture. 2,13,14 The intrinsic (capsular) sternoclavicular ligaments and intraarticular disc, and extrinsic (costoclavicular) ligaments provide constraints to excessive motion at the SCJ.…”

Section: Introductionmentioning

confidence: 99%

Two cases of sternoclavicular joint replacement arthroplasty: A case report. A novel prosthesis and surgical technique for recalcitrant instability, arthropathy of the sternoclavicular joint with medial clavicular bone loss

Burns

Thangarajah

Lambert

2023

SAGE Open Medical Case Reports

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Instability arthropathy of the sternoclavicular joint is most commonly managed by rehabilitation, injection, and either arthroscopic or open debridement with or without interposition arthroplasty. When these options fail to achieve symptom relief, excision arthroplasty is an option. This is associated with a risk of persistent instability and incomplete pain relief. We describe two cases in which custom sternoclavicular joint replacement was performed for painful insufficiency of scapular suspension. Although the prostheses remained secure in both cases, the first case was complicated by persistent instability due to insufficient reconstruction of the intrinsic sternoclavicular capsular ligaments. This was recognised and corrected for in the second case, in which stability of the sternoclavicular joint replacement has been noted on more than a 5-year review. We conclude that sternoclavicular joint replacement is an option for patients in whom instability arthropathy remains an intrusive problem in daily life after other conventional treatments have not controlled symptoms. Stability of the joint remains a concern. We offer one method of achieving stability through an iterative design process including the ability to reconstruct the intrinsic capsular ligaments around the articulation.

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Section: Introductionmentioning

confidence: 99%

Two cases of sternoclavicular joint replacement arthroplasty: A case report. A novel prosthesis and surgical technique for recalcitrant instability, arthropathy of the sternoclavicular joint with medial clavicular bone loss

Burns

Thangarajah

Lambert

2023

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…The SCJ is the only attachment of the upper limb to the axial skeleton. 3 There are several ligaments and structures which stabilize it, including the anterior sternoclavicular ligament anteriorly, the costoclavicular ligament laterally and inferiorly, the interclavicular ligament superiorly and medially, the posterior sternoclavicular ligament posteriorly, as well as the articular capsule and disk within the joint itself. 4 The articular surface of the clavicle has a greater area and thicker layer of cartilage than that of the clavicular notch on which it articulates.…”

Section: Introductionmentioning

confidence: 99%

“…4 The articular surface of the clavicle has a greater area and thicker layer of cartilage than that of the clavicular notch on which it articulates. 3 The SCJ moves in three planes: predominantly the anteroposterior and vertical planes, and to a lesser extent, there is rotational movement. This allows for elevation, depression, and circumduction of the SCJ.…”

Section: Introductionmentioning

confidence: 99%