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Given the rarity of this injury, there is not a consensus regarding clinical management. Although anterior dislocations can be managed nonoperatively, posterior dislocations may pose a threat to chest\u2010wall structures and typically are managed surgically. Here, we present our preferred technique for concomitant management of a locked posterior SC joint dislocation with associated grade 3 acromioclavicular joint dislocation. Reconstruction of both ends of the clavicle was performed in this case, using a figure\u2010of\u20108 gracilis allograft and nonabsorbable suture reconstruction for the SC joint, and an anatomic acromioclavicular joint and coracoclavicular ligament reconstruction with semitendinosus allograft and nonabsorbable suture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf00438:atn2bf00438-vimg-mmc2\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2023.01.006","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T03:03:36Z","timestamp":1681700616000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Floating Clavicle: Surgical Technique for Management of an Ipsilateral Acromioclavicular and Sternoclavicular Joint Dislocation"],"prefix":"10.1002","volume":"12","author":[{"given":"Lasun O.","family":"Oladeji","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery University of Missouri Columbia Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Vivace","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery University of Missouri Columbia Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shayne","family":"Kelly","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery University of Missouri Columbia Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Wiesemann","sequence":"additional","affiliation":[{"name":"Thoracic Surgery University of Missouri Columbia Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven F.","family":"DeFroda","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery University of Missouri Columbia Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"78","article-title":"Observation d'une double luxation de la clavicle droite [Observation of a double dislocation of the 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}