Unicortical sternal graft reconstruction for anterior sternoclavicular joint instability

Kate M. Parker, Jeremy S. Somerson, Winston J. Warme

Research output: Contribution to journalArticlepeer-review


Sternoclavicular joint (SCJ) injury represents 3%-5% of all shoulder girdle injuries, yet can produce significant pain and disability. While conservative management improves symptoms in most cases, surgical intervention may be indicated for patients with symptoms recalcitrant to nonoperative treatment. A wide range of surgical stabilisation techniques is documented in the literature; however, the scarcity of SCJ pathology has hindered development of a a € gold standard'. We present a minimalistic medial clavicle osteoplasty and SCJ reconstruction using semitendinosus autograft anchored with unicortical sternal tunnels in the 54 years old with chronic SCJ instability. This technique can be performed safely, resulting in joint stability and pain reduction, while avoiding risks and complications noted in the literature with other techniques.

Original languageEnglish (US)
Article numbere237164
JournalBMJ Case Reports
Issue number3
StatePublished - Mar 10 2021
Externally publishedYes


  • general surgery
  • ligament laxity
  • orthopaedic and trauma surgery

ASJC Scopus subject areas

  • General Medicine


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