F Martetschläger1, A B Imhoff. 1. Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland, Frank.Martetschlaeger@lrz.tu-muenchen.de.
Abstract
SURGICAL OBJECTIVE: Restoration of joint stability and unimpaired, painless shoulder function INDICATIONS: Chronic and recurrent painful instabilities of the sternoclavicular (SC) joint. Locked posterior instability. CONTRAINDICATIONS: A lack of autologous tendon grafts due to harvesting of all hamstring grafts during prior surgical procedures and general contraindications for surgery/anesthesia. SURGICAL TECHNIQUE: Joint stability is restored by a gracilis tendon allograft passed through two drill holes in the sternum and the medial clavicle using a figure-of-eight configuration. POSTOPERATIVE MANAGEMENT: Immobilization in a sling for 6 weeks with passive motion exercises followed by 6 weeks of active mobilization without weight-bearing. After 12 weeks, continuous remobilization with increasing weight-bearing. RESULTS: SC joint reconstruction using an autologous tendon graft in a figure-of-eight configuration can significantly improve shoulder function and pain relief. However, some impairment of shoulder function or persistent complaints may occur, which must be discussed with the patient in the preoperative setting.
SURGICAL OBJECTIVE: Restoration of joint stability and unimpaired, painless shoulder function INDICATIONS: Chronic and recurrent painful instabilities of the sternoclavicular (SC) joint. Locked posterior instability. CONTRAINDICATIONS: A lack of autologous tendon grafts due to harvesting of all hamstring grafts during prior surgical procedures and general contraindications for surgery/anesthesia. SURGICAL TECHNIQUE: Joint stability is restored by a gracilis tendon allograft passed through two drill holes in the sternum and the medial clavicle using a figure-of-eight configuration. POSTOPERATIVE MANAGEMENT: Immobilization in a sling for 6 weeks with passive motion exercises followed by 6 weeks of active mobilization without weight-bearing. After 12 weeks, continuous remobilization with increasing weight-bearing. RESULTS: SC joint reconstruction using an autologous tendon graft in a figure-of-eight configuration can significantly improve shoulder function and pain relief. However, some impairment of shoulder function or persistent complaints may occur, which must be discussed with the patient in the preoperative setting.
Authors: Alexander Van Tongel; Sheila McRae; Alexandra Gilhen; Jeff Leiter; Peter MacDonald Journal: Acta Orthop Belg Date: 2012-04 Impact factor: 0.500
Authors: Frank Martetschläger; Sepp Braun; Stephan Lorenz; Andreas Lenich; Andreas B Imhoff Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-03-11 Impact factor: 4.342
Authors: Lukas Willinger; Jakob Schanda; Elmar Herbst; Andreas B Imhoff; Frank Martetschläger Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-09-03 Impact factor: 4.342
Authors: Frank Martetschläger; Franziska Reifenschneider; Nicole Fischer; Coen A Wijdicks; Peter J Millett; Andreas B Imhoff; Sepp Braun Journal: Orthop J Sports Med Date: 2019-04-23