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Sternoclavicular Joint Reconstruction for the Management of Sternoclavicular Joint Instability
Reconstruction of the sternoclavicular joint is indicated to manage acute, irreducible posterior dislocations and chronic posterior dislocations. A patient with chronic, anterior instability with substantial symptoms also may benefit from reconstruction of the sternoclavicular joint. Three of the most popular procedures used to reconstruct the sternoclavicular joint are the Burrows technique (transfer of the subclavius tendon; transfer of the intra-articular disk and ligament into the resected end of the clavicle, and reconstruction of the anterior and posterior capsules using a figure-of-8 semitendinosus autograft. This chapter reviews the indications and outcomes for surgical reconstruction of the sternoclavicular joint. The figure-of-8 hamstring autograft technique for the reconstruction of chronic sternoclavicular joint dislocation is described in step-by-step detail. Postoperative protocols and technical keys for avoiding complications are also presented.