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Double figure-of-eight reconstruction technique for chronic anterior sternoclavicular joint dislocation

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Sternoclavicular joint dislocations account for <5 % of all dislocations of the shoulder girdle. Whereas most cases of anterior dislocation do not experience symptoms, some patients with anterior instability remain symptomatic and require reconstructive surgery to stabilize the sternoclavicular joint. We present the case of a 57-year-old male diagnosed with sternoclavicular joint anterior dislocation and unusual swallowing difficulty while bending the neck forward. The patient was treated using a new and effective surgical technique of sternoclavicular joint reconstruction named “double figure-of-eight” using the ipsilateral gracilis tendon. Surgical outcome was successful, based on the Rockwood SC joint rating scale, and the patient maintained excellent stability even after 2 years. This new surgical technique offers superior stability, without harvest site morbidity, to patients with rare, severe, and chronic sternoclavicular joint dislocation.

Level of evidence IV.

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Conflict of interest

The authors, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of the subject of this article.

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Authors and Affiliations

  1. Department of Orthopaedics Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu-shi, Tokyo, Japan

    Kohei Kawaguchi, Sayo Tanaka, Hiroki Yoshitomi, Ichiro Nagai, Wakyo Sato, Tasturo Karita & Taiji Kondo

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  1. Kohei Kawaguchi
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  2. Sayo Tanaka
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  3. Hiroki Yoshitomi
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  4. Ichiro Nagai
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  5. Wakyo Sato
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  6. Tasturo Karita
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  7. Taiji Kondo
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Correspondence to Kohei Kawaguchi.

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Kawaguchi, K., Tanaka, S., Yoshitomi, H. et al. Double figure-of-eight reconstruction technique for chronic anterior sternoclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc 23, 1559–1562 (2015). https://doi.org/10.1007/s00167-014-2979-4

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  • DOI: https://doi.org/10.1007/s00167-014-2979-4

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