Resection arthroplasty of the sternoclavicular joint for the treatment of primary degenerative sternoclavicular arthritis

Abstract

W e describe the mid-term clinical results of the surgical treatment of primary degenerative arthritis of the sternoclavicular joint in eight women. They had not responded to conservative treatment and underwent a limited resection arthroplasty. For preand postoperative clinical evaluation we used the Rockwood score for the sternoclavicular joint. Postoperatively, the Constant score was also determined. The mean follow-up was 31 months (10 to 82).The median Rockwood score increased from 6 to 12.5 points. The median postoperative Constant score was 87 (65 to 91). Four patients had an excellent, three a good, and one a poor result. All patients were pleased with the cosmetic result.Resection arthroplasty is an effective and safe treatment for chronic, symptomatic degenerative arthritis of the sternoclavicular joint with a high degree of patient satisfaction.

Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints

“…Medial clavicle resection has been proposed if conservative treatment fails, and several techniques have been described [18][19][20][21][22][23] . The results of these techniques have been reported to be good in a few case reports 24 .…”

Arthroscopic excision of sternoclavicular joint

“…In the study of Pingsmann et al [8] 7 out of 8 patients had good or excellent results. Resection and [7].…”

Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report

“…Pingsmann et al 2 evaluated outcomes in 8 women who underwent open isolated resection arthroplasty of the SC joint for painful arthritis. Again, all 8 patients were completely satisfied with the result at a mean follow-up of 31 months.…”

“…Therefore the purposes of this article are (1) to describe pertinent arthroscopic anatomy related to the SC joint, (2) to present and demonstrate a technique for arthroscopic SC joint resection arthroplasty, and (3) to illustrate a case in which bilateral SC joint decompressions were necessary in a young, active patient with symptomatic degenerative osteoarthritis of the SC joint.…”