Tenodesis of Subclavius in the Treatment of Recurrent Dislocation of the Sterno-Clavicular Joint

Abstract

1. It is suggested that replacement of the costo-clavicular ligament is mechanically an essential part of the operative treatment of recurrent sterno-clavicular dislocation. 2. Tenodesis of the subclavius appears to be the simplest and safest way of achieving such replacement. 3. Two cases are described of recurrent sterno-clavicular dislocation treated by this procedure and capsulorrhaphy. 4. Full function was restored in both cases; and there had been no recurrence at the times of follow-up—three years and six months after operation in the first case, and twelve months after operation in the second. In this case the joint had withstood violence that had shattered the clavicle. 5. Further trial in judiciously selected cases, with report, is suggested.

Sternoclavicular instability - reconstruction of sternoclavicular ligament using semitendinosus autograft

“…12 The first method was using the subclavius tendon described by Burrows. 13 The second method was the intramedullary ligament reconstruction of Rockwood.…”

AC Dislocations, SC Dislocations, and Scapula Fractures

“…Patients developing symptoms following closed management of anterior dislocations may benefit from physical therapy to promote scapular retraction and education on how to avoid provocative positions. Ligament reconstruction can be performed if therapy is unsuccessful, with reasonable outcomes expected (Spencer et al 2002;Burrows 1951;Bae et al 2006).…”

Sterno clavicular joint dislocation: a case report of a surgical stabilization technique

“…Challenging and without sure result is the transposition of subclavious muscle or the clavicle end of sternocleidomastoideus muscle described by Burrows and Brown [14,15].…”

“…Burrows in 1951 [14] performed a transposition of subclavius muscle while Brown [15] of the clavicular end of SCM in 1961. Other authors used Kirschner and Steinmann pins [16][17][18], a Dacron loop [19] or suture anchors [20] to fix the joint while recently Shuler et al [21] proposed fixation with a locking plate and monocortical screws.…”