Extra-Articular Stabilization for the Treatment of Recurrent Sternoclavicular Joint Instability: A Report of Two Cases

JBJS Case Connect. 2024 Apr 26;14(2). doi: 10.2106/JBJS.CC.24.00014. eCollection 2024 Apr 1.

Abstract

Case: A 22-year-old man and a 14-year-old adolescent boy, who exhibited moderate general joint laxity, experienced recurrent sternoclavicular joint instability without traumatic events. The patients were successfully treated with extra-articular stabilization using autologous tendon grafts without surgical exposure of the sternoclavicular joint.

Conclusion: Atraumatic instability of the sternoclavicular joint is rare but often results in recurrent instability accompanied by discomfort, pain, and limitations in activities. Extra-articular stabilization, which reinforces the anterior capsule of the sternoclavicular joint and prevents anterior displacement of the proximal clavicle at the elevated arm position, could be a viable surgical option for this pathological condition.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Humans
  • Joint Instability* / surgery
  • Male
  • Recurrence
  • Sternoclavicular Joint* / diagnostic imaging
  • Sternoclavicular Joint* / surgery
  • Tendons / surgery
  • Tendons / transplantation
  • Young Adult