Clinical Outcome After Reconstruction for Sternoclavicular Joint Instability Using a Sternocleidomastoid Tendon Graft

2014 ◽  
Vol 96 (5) ◽  
pp. 417-422 ◽  
Author(s):  
Ofir Uri ◽  
Konstantinos Barmpagiannis ◽  
Deborah Higgs ◽  
Mark Falworth ◽  
Susan Alexander ◽  
...  
2020 ◽  
Vol 45 (9) ◽  
pp. 909-915 ◽  
Author(s):  
Lisa M. Frantz ◽  
Elizabeth A. Helsper ◽  
Harry A. Morris ◽  
Bernard F. Hearon

This retrospective study investigated the clinical outcomes of patients treated for chronic distal radioulnar joint instability with open anatomic reconstruction of the palmar and dorsal radioulnar ligaments. After the midpoint of a tendon graft is anchored at the ulnar fovea, the two graft limbs traverse the distal radioulnar joint. One limb is woven into the palmar wrist capsule and the other is secured to the dorsal wrist capsule and retinaculum to stabilize the joint. Of 30 patients (31 wrists) treated with this technique, 19 were followed longitudinally for a mean of 10 years (range 3–21). In this long-term cohort, there were statistically significant improvements in ulnar-sided wrist pain on the visual analogue scale and in distal radioulnar joint stability on the dorsopalmar stress test. The modified Mayo Wrist Scores were classified as three excellent, 12 good, three fair and one poor. Of the 30 patients studied, failure occurred in four patients, two from graft rupture and two from distal radioulnar joint arthrosis. We conclude that anatomic reconstruction of the palmar and dorsal radioulnar ligaments is an effective treatment for distal radioulnar joint instability and is associated with high satisfaction and durable outcomes. Level of evidence: IV


2020 ◽  
Vol 4 (4) ◽  
pp. 719-723
Author(s):  
Robert Z. Tashjian ◽  
Hunter Ross ◽  
Erin Granger ◽  
Peter N. Chalmers

2019 ◽  
Vol 63 (2) ◽  
pp. 216-221 ◽  
Author(s):  
Yin Peng Goh ◽  
Ash Kamali Moaveni ◽  
Gregory Hoy ◽  
Julie Tate ◽  
Andrew Rotstein

Author(s):  
Krishna Kumar ◽  
Girisha . ◽  
Nishant Agrawal ◽  
Rama Krishna Pabolu ◽  
Muralidhar N.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">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.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">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</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">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. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Reconstruction of sternoclavicular ligament using the semitendinosus autograft is a safe, reproducible and functionally good surgical option in patients with chronic sternoclavicular instability.</span></p>


2017 ◽  
Vol 26 (6) ◽  
pp. 1052-1057
Author(s):  
Christian Kastenskov ◽  
Jeppe Vejlgaard Rasmussen ◽  
Janne Ovesen ◽  
Bo Sanderhoff Olsen

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