Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

Sabatini, Jefferson B.; Shung, Joseph R.; Clay, Terry; Oladeji, Lasun O.; Minnich, Douglas J.; Ponce, Brent A.

doi:10.1016/j.jse.2014.10.001

Cited by 46 publications

(37 citation statements)

References 30 publications

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“…However, great care is needed during surgery to prevent damage to the underlying neurovascular structures. There are several similar procedures, 3 , 7 , 8 , 9 , 13 , 14 , 16 , 18 and we considered their methods and made some modifications such as how to fix the graft tendon, how to drill a hole, and which tendon to select as a graft tendon. On the other hand, Kawaguchi et al 9 have proposed a technique to drill 2 pairs of tunnels into the anterior bone cortex without penetrating the bones at the clavicle edge and frontal manubrium (2 holes on each), stringing them twice through the bone tunnels, and firmly fixing them with screws.…”

Section: Discussionmentioning

confidence: 99%

“… 15 Graft tendons used for the figure-of-8 reconstruction include the gracilis tendon, biceps tendon, plantar fascia, and PL tendon, each of which has its own merits and demerits. 7 , 8 , 9 , 13 , 14 , 16 , 18 The technique implemented in this study was improved by drilling only into the anterior cortical bone, 7 securing enough stability using a suture anchor, and a Krackow suture ( Figs. 4 and 5 ).…”

Section: Discussionmentioning

confidence: 99%

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Positional anterior sternoclavicular joint dislocation in the acceleration phase of throwing: a case report

Ogawa¹,

Masuya²,

Onishi³

et al. 2020

JSES International

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Positional anterior sternoclavicular joint (SCJ) dislocation is relatively rare and needs careful treatment. We report our course of treatment and tips for surgery in a case. The patient was a 16-year-old male outfield baseball player. Three years ago, he had 3 recurrent episodes of right shoulder dislocation. During these injuries, there were forward dislocations of the proximal right clavicle edge accompanied by a creaking sound during the throw acceleration period. Thereafter, the anterior dislocation of the SCJ occurred during the acceleration phase of throwing, and the SCJ naturally repositioned on the shoulder resting position. This situation lingered and he often felt shoulder apprehension during throws, so he opted for surgical treatment just 1 month after the first injury. We performed a modified version of the figure-of-8 technique reported by Wang et al, using the ipsilateral palmaris longus (PL) tendon. The bilateral edge of the PL was attached to a Krackow suture and passed through the bone tunnels opened at the proximal clavicle and proximal sternum so that it became a figure of 8 on the anterior of the SCJ. The stability of the SCJ was confirmed after the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Positional anterior sternoclavicular joint dislocation in the acceleration phase of throwing: a case report

Ogawa¹,

Masuya²,

Onishi³

et al. 2020

JSES International

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“…Some authors recommend including the thoracic surgeon in the surgical team in the SCJ surgeries. 9 , 10 Another factor related to the possible damages of these structures is related to the posterior dislocation of the SCJ. 15 Fortunately it is infrequent, but by association with high-energy trauma to the chest, it can cause serious injury by its proximity to noble structures.…”

Section: Discussionmentioning

confidence: 99%

Measuring the Distance Between Sternoclavicular Joint and Hilar Structures With Tomography

Sola¹,

Colferai²,

Ramos

et al. 2018

Acta ortop. bras.

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Objectives To evaluate the tomographic distance between the sternoclavicular joints and the nearest hilar structures.Methods Computed tomography images (axial and sagittal slices) in 120 healthy individuals (60 men and 60 women) between 18 and 60 years old were prospectively analyzed. The distances from both sternoclavicular joints to the respective brachiocephalic veins, trachea, esophagus, and lung apexes were measured and related to age, sex, and body mass index.Results Statistically significant differences were found in the distance from the right and left sternoclavicular joint distances and the corresponding brachiocephalic vein, esophagus, and lung apexes. In women, both sides were closer to the noble structures. In patients with body mass index <25, the distances were significantly less than in heavier patients.Conclusion The left sternoclavicular joint is closer to the hilar structures than the contralateral side. In women, both sternoclavicular joints are closer to the brachiocephalic veins, esophagus, and lung apexes than in men. Patients with body mass index <25 have shorter distances between these joints and the brachiocephalic veins and esophagus. Level of Evidence II; Prognostic studies – Investigating the effect of a patient characteristic on the outcome of disease.

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“…51 From the figure-8 technique, multiple novel techniques have been created in order to avoid the dangers of drilling in the anterior-to-posterior fashion and utilizing additional materials including suture anchors and different configurations of graft material. [54][55][56][57][58] Resection of the medial clavicle has also been explored in the setting of a chronically unstable and painful SCJ, with both open and arthroscopic techniques being described. 56,[59][60][61][62][63][64] In a biomechanical study by Spencer and Kuhn, 51 three different graft techniques of SCJ repair were examined.…”

Section: Chronic Scj Instabilitymentioning

confidence: 99%

“…Sabatini et al, 58 also performed a study regarding figure-8 surgical reconstruction of the SCJ. All 10 patients included in the study underwent figure-8 allograft reconstruction augmented by 2 tenodesis screws and were evaluated at a mean follow-up time of 38 months.…”

Section: Figure-8 Surgical Reconstructionmentioning

confidence: 99%

<p>Sternoclavicular Joint Instability: Symptoms, Diagnosis And Management</p>

Garcia¹,

Arguello²,

Momaya³

et al. 2020

ORR

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Sternoclavicular joint (SCJ) instability is a rare condition and results from either a traumatic high energy impact, such as a motor vehicle crash or contact sports injury, or nontraumatically as a result of structural pathology. The infrequency of this injury has contributed to its diagnosis being missed as well as the paucity of literature on treatment and outcomes. Patients with SCJ instability often report diminished range of motion as well as shoulder girdle pain. The presentation of instability in the sternoclavicular joint can vary in severity and anterior or posterior directionality. Variation in severity of the instability changes the course of treatment regarding either operative or non-operative interventions to stabilize the SCJ. In general, anterior instability of the SCJ (the medial clavicle is displaced anterior to the sternum) is less urgent and generally manageable by symptom alleviation and rehabilitation, although some anterior instability cases require surgical intervention. In the case of posterior SCJ instability (the medial clavicle is displaced posterior to the sternum), patients require prompt joint reduction as they are at the greater risk of life-threatening injury due to the location of critical structures of the mediastinum posterior to the SCJ. Computed tomography visualization is useful to confirm dislocation or subluxation direction to better formulate a proper treatment plan. The purpose of this review is to report the clinical presentation and management of SCJ instability including pertinent symptoms, the diagnostic approaches to evaluating SCJ instability, as well as operative and non-operative management of the joint instability.

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Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

Cited by 46 publications

References 30 publications

Positional anterior sternoclavicular joint dislocation in the acceleration phase of throwing: a case report

Positional anterior sternoclavicular joint dislocation in the acceleration phase of throwing: a case report

Measuring the Distance Between Sternoclavicular Joint and Hilar Structures With Tomography

<p>Sternoclavicular Joint Instability: Symptoms, Diagnosis And Management</p>

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