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synonyms: Sternoclavicular Joint Reconstruction, sternoclavicular repair
Sternoclavicular Joint Reconstruction Indications
- Acute Posterior SC joint dislocation which can not be reduced closed.
- Symptomatic chronic anterior or posterior SC dislocation
Sternoclavicular Joint Reconstruction Contraindications
- Asymptomatic chronic SC dislocation
- Acute Anterior SC dislocation
- Physeal facture
Sternoclavicular Joint Reconstruction Alternatives
Sternoclavicular Joint Reconstruction Pre-op Planning / Special Considerations
- Consider having CT surgeon available.
- Type and crossed blood available.
- Semitendinosis figure-of-eight reconstruction technique has been shown to be biomechanically superior (Spencer EE, JBJS 2004;86:98)
- Good outcomes have been reported with suture anchor reconstruction (Abidden Z, JSES 2006;15:315).
Sternoclavicular Joint Reconstruction Technique
- Sign operative site
- Pre-operative antibiotics, +/- regional block
- General endotracheal anesthesia
- position. All bony prominences well padded.
- Examination under anesthesia.
- Prep and drape in standard sterile fashion.
- Irrigate.
- Close in layers.
Sternoclavicular Joint Reconstruction Complications
Sternoclavicular Joint Reconstruction Follow-up care
- Figure of eight brace with sling for 4-6 wks. Obtain follow-up radiographs.
Sternoclavicular Joint Reconstruction Outcomes
- 60% stable, pain-free joints, 87% some limitations of athletic or recreational activity for SCJ reconstruction and medial clavicular resection for chronic anterior sternoclavicular joint instability (Bae DS, JPO 2006;26:71).
Sternoclavicular Joint Reconstruction Review References
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