Faculty Collaboration Database

Operative treatment of the painful sternoclavicular joint: a new technique using interpositional arthroplasty. J Shoulder Elbow Surg 2006;15(1):60-6

Date

01/18/2006

Pubmed ID

16414470

DOI

10.1016/j.jse.2005.04.005

Scopus ID

2-s2.0-30744468113 (requires institutional sign-in at Scopus site)   37 Citations

Abstract

This study presents the results of a new surgical technique, resection of the medial end of the clavicle and interposition of the sternal head of the sternocleidomastoid muscle, that was used for the treatment of 17 painful sternoclavicular (SC) joints, 14 of which were available for review. The etiology of the pain was primary or posttraumatic degenerative arthritis in 10, osteitis condensans in 2, and SC joint infection in 2. The results of surgery, evaluated with the Rockwood SC joint rating scale and examination of the patients, were determined at a mean follow-up of 46 months. Results were excellent in 4 shoulders, good in 6, fair in 3, and poor in 1. All of the fair and poor results occurred in workers' compensation patients. Interposition arthroplasty performed in conjunction with resection of the medial clavicle proved to be a safe and effective method of treatment for the painful, degenerative or septic SC joint.

Author List

Meis RC, Love RB, Keene JS, Orwin JF

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Arthroplasty
Female
Humans
Joint Diseases
Male
Middle Aged
Osteitis
Osteoarthritis
Range of Motion, Articular
Retrospective Studies
Sternoclavicular Joint
Suture Techniques
Treatment Outcome