Sternoclavicular Joint Reconstruction Using a Hamstring and Cadaveric Fibular Cortical Allograft: A Case Report

Area of Science:

• Orthopedic Surgery
• Reconstructive Surgery
• Musculoskeletal Research

Background:

• Medial clavicle resection is an uncommon procedure with varied indications.
• The optimal method for sternoclavicular joint reconstruction after resection is not definitively established.
• Sternoclavicular insufficiency can significantly impact patient quality of life.

Purpose of the Study:

• To present a case of sternoclavicular joint reconstruction following medial clavicle resection.
• To evaluate the efficacy of a figure-of-eight reconstructive technique using allografts.
• To assess clinical outcomes and graft incorporation in a patient with a large medial clavicle defect.

Main Methods:

• A 49-year-old female patient underwent sternoclavicular joint reconstruction.
• The reconstruction utilized a hamstring allograft and a cadaveric fibular cortical allograft.
• A figure-of-eight technique was employed for the reconstruction.

Main Results:

• The patient experienced complete pain relief at 4 months post-surgery.
• Radiographic evidence confirmed successful graft incorporation by 8 months.
• The reconstructive technique addressed a large medial clavicle defect.

Conclusions:

• A figure-of-eight sternoclavicular reconstruction technique using hamstring and fibular allografts can yield favorable clinical results.
• This technique may be a viable option for managing large medial clavicle defects.
• Further research is warranted to establish the long-term efficacy and optimal techniques for sternoclavicular reconstruction.