Sternoclavicular instability - reconstruction of sternoclavicular ligament using semitendinosus autograft

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


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.


Sternoclavicular joint, Instability, Reconstruction, Semitendinosus

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