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Updated: Nov 24, 2025

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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Single loop allograft reconstruction for sternoclavicular joint instability.

Robert Z Tashjian1, Hunter Ross1, Erin Granger1

  • 1Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT, USA.

JSES International
|December 21, 2020
PubMed
Summary
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Single-loop allograft reconstruction effectively treats chronic sternoclavicular joint instability, offering reliable pain relief and improved joint stability. This surgical technique provides functional improvement with minimal complications.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Reconstructive Surgery

Background:

  • Sternoclavicular joint instability presents a treatment challenge with variable outcomes.
  • Chronic subluxation and ligament disruption necessitate effective surgical interventions.

Purpose of the Study:

  • To evaluate the clinical outcomes of single-loop allograft reconstruction for sternoclavicular joint instability.
  • To assess the efficacy of this technique in restoring joint function and stability.

Main Methods:

  • Ten patients with chronic sternoclavicular joint instability underwent single-loop semitendinosus allograft reconstruction.
  • A single drill hole in the sternum and clavicle, with the allograft looped and secured.
  • Postoperative evaluation included pain scores, functional outcome measures, and patient satisfaction.
Keywords:
Allograftclaviclefunctional outcomesloopreconstructionsternoclavicular joint instability

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Main Results:

  • Excellent functional outcomes with high Simple Shoulder Test and American Shoulder and Elbow Surgeons scores.
  • Significant reduction in pain (Visual Analog Scale score of 0.9).
  • No residual instability reported; high patient satisfaction (8/9) and no complications or reoperations.

Conclusions:

  • Single-loop allograft reconstruction is a reliable method for managing chronic sternoclavicular joint instability.
  • The procedure offers dependable pain relief, enhanced function, and joint stability.
  • Its simplicity avoids complications associated with multiple drill holes or small grafts.