Mini-open technique for sternoclavicular joint resection for the treatment of osteoarthritis-a technical note

Sternoclavicular joint (SCJ) osteoarthritis may lead to debilitating pain and decreased activity, particularly during overhead motion. In case of failed nonoperative treatment, surgical management may be indicated. Good to excellent outcomes have been reported following SCJ resection. There generally exists, however, a high threshold for performing SCJ resection due to the rarity of this condition, the proximity to the mediastinal structures as well as concerns for postoperative instability. In this technical note, a mini-open technique for SCJ resection that is safe, reproducible and reliable is presented and discussed.