Unicortical sternal graft reconstruction for anterior sternoclavicular joint instability

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 '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.

Automated summary

SCJ injuries, though rare, can cause significant pain and disability. Conservative management can improve symptoms in most cases, but surgical intervention may be necessary for patients with persistent symptoms. Various surgical stabilization techniques are documented, but the lack of cases has hindered the development of a gold standard.