title: [Surgical stabilization of acute/chronic sternoclavicular instability with autologous gracilis tendon graft].
abstract: Restoration of joint stability and unimpaired, painless shoulder function
  
  
  METHODS
  Chronic and recurrent painful instabilities of the sternoclavicular (SC) joint. Locked posterior instability.
  
  
  METHODS
  A lack of autologous tendon grafts due to harvesting of all hamstring grafts during prior surgical procedures and general contraindications for surgery/anesthesia.
  
  
  METHODS
  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.
  
  
  METHODS
  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.affiliation: Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland, Frank.Martetschlaeger@lrz.tu-muenchen.de.
authors.forename: F
authors.initials: F
authors.lastname: Martetschläger
authors.forename: A B
authors.initials: AB
authors.lastname: Imhoff
mesh_terms: D000208:Acute Disease; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000534:rehabilitation*; D013247:Sternoclavicular Joint / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous / Q000534:rehabilitation*; D016896:Treatment Outcome