Sternoclavicular instability - reconstruction of sternoclavicular ligament using semitendinosus autograft

Krishna Kumar; Girisha .; Nishant Agrawal; Rama Krishna Pabolu; Muralidhar N.

doi:10.18203/issn.2455-4510.IntJResOrthop20171888

Authors

Krishna Kumar Department of Orthopaedics, Vydehi Institute of Medical Science and Research Institute, Bangalore, Karnataka
Girisha . Department of Orthopaedics, Vydehi Institute of Medical Science and Research Institute, Bangalore, Karnataka
Nishant Agrawal Department of Orthopaedics, Vydehi Institute of Medical Science and Research Institute, Bangalore, Karnataka
Rama Krishna Pabolu Department of Orthopaedics, Narayana Medical College, Nellore, Andhra Pradesh
Muralidhar N. Department of Orthopaedics, Vydehi Institute of Medical Science and Research Institute, Bangalore, Karnataka

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20171888

Keywords:

Sternoclavicular joint, Instability, Reconstruction, Semitendinosus

Abstract

Background: Injury to the sternoclavicular joint is rare with an incidence of 3% of all the injuries around the shoulder girdle. Most of them heal with conservative treatment. Rarely some progress to chronic instability associated with pain.

Methods: We present a small series of 4 such cases of chronic symptomatic sternoclavicular joint instability. We performed reconstruction of the sternoclavicular ligament using semitendinosus autograft, with excellent result, with minimum of 15 months follow up.

Results: All the patients returned to pre injury level of activity at the end of 6 months. There was significant improvement in the DASH score following surgery. Our results are comparable with that of Castropil et al, who had performed a similar technique.

Conclusions: Reconstruction of sternoclavicular ligament using the semitendinosus autograft is a safe, reproducible and functionally good surgical option in patients with chronic sternoclavicular instability.

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