{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:06:34Z","timestamp":1789344394007,"version":"build-2803163510"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,23]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Sternoclavicular joint (SCJ) injury represents 3%\u20135% of all shoulder girdle injuries, yet can produce significant pain and disability. While conservative management improves symptoms in most cases, surgical intervention may be indicated for patients with symptoms recalcitrant to nonoperative treatment. A wide range of surgical stabilisation techniques is documented in the literature; however, the scarcity of SCJ pathology has hindered development of a \u2018gold standard\u2019.<\/jats:p>\n               <jats:p>We present a minimalistic medial clavicle osteoplasty and SCJ reconstruction using semitendinosus autograft anchored with unicortical sternal tunnels in the 54 years old with chronic SCJ instability. This technique can be performed safely, resulting in joint stability and pain reduction, while avoiding risks and complications noted in the literature with other techniques.<\/jats:p>","DOI":"10.1136\/bcr-2020-237164","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T11:55:24Z","timestamp":1615377324000},"page":"e237164","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Unicortical sternal graft reconstruction for anterior sternoclavicular joint instability"],"prefix":"10.1136","volume":"14","author":[{"given":"Kate M","family":"Parker","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7272-5922","authenticated-orcid":false,"given":"Jeremy S","family":"Somerson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winston J","family":"Warme","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,10]]},"reference":[{"key":"2025082709354285000_14.3.e237164.1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-196803000-00004"},{"key":"2025082709354285000_14.3.e237164.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00547162"},{"key":"2025082709354285000_14.3.e237164.3","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/j.jse.2014.10.001","article-title":"Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction","volume":"24","author":"Sabatini","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"2025082709354285000_14.3.e237164.4","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182092c7b"},{"key":"2025082709354285000_14.3.e237164.5","first-page":"53","article-title":"K-wire and tension band wire fixation in treating sternoclavicular joint dislocation","volume":"14","author":"Chen","year":"2011","journal-title":"Chin J Traumatol"},{"key":"2025082709354285000_14.3.e237164.6","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jse.2013.05.010","article-title":"Reconstruction of the chronic anterior unstable sternoclavicular joint using a tendon autograft: medium-term to long-term follow-up results","volume":"23","author":"Bak","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"2025082709354285000_14.3.e237164.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.07.009"},{"key":"2025082709354285000_14.3.e237164.8","doi-asserted-by":"crossref","first-page":"98","DOI":"10.2106\/00004623-200401000-00015","article-title":"Biomechanical analysis of reconstructions for sternoclavicular joint instability","volume":"86","author":"Spencer","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"2025082709354285000_14.3.e237164.9","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jses.2018.08.002","article-title":"Sternoclavicular joint allograft reconstruction using the sternal docking technique","volume":"2","author":"Sanchez-Sotelo","year":"2018","journal-title":"JSES Open Access"},{"key":"2025082709354285000_14.3.e237164.10","doi-asserted-by":"crossref","first-page":"387","DOI":"10.2106\/00004623-199703000-00011","article-title":"Resection arthroplasty of the sternoclavicular joint","volume":"79","author":"Rockwood","year":"1997","journal-title":"J Bone Joint Surg Am"},{"key":"2025082709354285000_14.3.e237164.11","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.119394"},{"key":"2025082709354285000_14.3.e237164.12","first-page":"128","article-title":"Sternoclavicular joint reconstruction--a systematic review","volume":"69","author":"Thut","year":"2011","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"2025082709354285000_14.3.e237164.13","doi-asserted-by":"publisher","DOI":"10.1532\/HSF98.20061086"},{"key":"2025082709354285000_14.3.e237164.14","first-page":"53","article-title":"[2 cases of pericardial tamponade caused by migration of fracture wires from the sternoclavicular joint]","volume":"93","author":"Gerlach","year":"1984","journal-title":"Z Rechtsmed"},{"key":"2025082709354285000_14.3.e237164.15","first-page":"287","article-title":"Migration of Kirschner's pin from the right sternoclavicular joint resulting in perforation of the pulmonary artery main trunk","volume":"93","author":"Janssens de Varebeke","year":"1993","journal-title":"Acta Chir Belg"},{"key":"2025082709354285000_14.3.e237164.16","first-page":"49","article-title":"[Migration of Kirschner wire from the right sternoclavicular joint into the main pulmonary artery. 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