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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 5, 610-613.
doi: 10.1302/0301-620X.90B5.20293  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Reconstruction for instability of the sternoclavicular joint using the tendon of the sternocleidomastoid muscle

A. L. Armstrong, MBChB(Hons), FRCS(Orth), Doctor of Medicine, Consultant Orthopaedic and Trauma Surgeon1; and J. J. Dias, FRCS, MD, Professor of Orthopaedic Surgery2

1 Department of Orthopaedics University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK.
2 Department of Orthopaedics University Hospitals of Leicester NHS Trust, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK.

Correspondence should be sent to Miss A. L. Armstrong; e-mail: alison{at}longarms.co.uk

We describe a new method of stabilising a painful unstable sternoclavicular joint using the sternocleidomastoid tendon and passing it through the medial clavicle and onto the manubrium sternum. This method is simple, reproducible and avoids the potential risks of reefing the joint to the first rib. The technique was used in seven cases of sternoclavicular joint instability in six patients who were reviewed at a mean of 39.7 months (15 to 63). Instability was markedly reduced or eliminated in all cases, but in one there was occasional persistant subluxation. There were minor scar complications after two procedures and one patient had transient ulnar neuritis.

This procedure provides satisfactory results in the medium term.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General