{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:30:16Z","timestamp":1792128616515,"version":"4.4.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Instability of the sternoclavicular joint (SCJ) is a rare problem that is often treated closed, with few published outcomes of surgical treatment with tendon graft reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed a consecutive series of patients who underwent tendon graft reconstruction for SCJ instability over a 7-year period. Cases with acute fractures or fewer than 2 years of follow-up were excluded. Pre- and postoperative function and pain were assessed using Single assessment numeric evaluation (SANE), simple shoulder test (SST), and visual analog scale (VAS) outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty cases were included, with 27 (90%) available for follow-up at a minimum of 2 years postoperatively. SANE scores improved from a median of 40 to 90. SST scores improved from a median of 3 positive responses to a median of 12 on a 12-point scale. VAS scores decreased from a median of 7 to 0 points. One patient underwent reoperation for recurrent instability and wound dehiscence. Three (11%) patients did not achieve a minimum 30% of maximum possible improvement in SST scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tendon graft reconstruction for SCJ instability is a safe procedure with a low complication rate and statistically and clinically significant improvements in patient-reported outcome measures at 2-year minimum follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level IV: Therapeutic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732231209967","type":"journal-article","created":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T02:54:25Z","timestamp":1698893665000},"page":"68-75","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Sternoclavicular joint reconstruction for traumatic acute and chronic anterior and posterior instability: Patient-reported outcomes at a minimum of 2 years"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7272-5922","authenticated-orcid":false,"given":"Jeremy S","family":"Somerson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate M","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, 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, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,1]]},"reference":[{"key":"bibr1-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.03.009"},{"key":"bibr2-17585732231209967","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200401000-00015"},{"key":"bibr3-17585732231209967","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00611"},{"key":"bibr4-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000483"},{"key":"bibr5-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519900896"},{"key":"bibr6-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.08.004"},{"key":"bibr7-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.05.010"},{"key":"bibr8-17585732231209967","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00681"},{"key":"bibr9-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.07.009"},{"key":"bibr10-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.02.009"},{"key":"bibr11-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.10.001"},{"key":"bibr12-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jses.2018.08.002"},{"key":"bibr13-17585732231209967","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20190523-03"},{"key":"bibr14-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"bibr15-17585732231209967","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199703000-00011"},{"key":"bibr16-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18002610211"},{"key":"bibr17-17585732231209967","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201101000-00001"},{"key":"bibr18-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516639302"},{"key":"bibr19-17585732231209967","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00157"},{"key":"bibr20-17585732231209967","doi-asserted-by":"publisher","DOI":"10.1097\/BTE.0b013e3182549d91"}],"container-title":["Shoulder &amp; Elbow"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17585732231209967","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17585732231209967","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17585732231209967","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:17:38Z","timestamp":1777587458000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17585732231209967"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/17585732231209967"],"URL":"https:\/\/doi.org\/10.1177\/17585732231209967","relation":{},"ISSN":["1758-5732","1758-5740"],"issn-type":[{"value":"1758-5732","type":"print"},{"value":"1758-5740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,1]]}}}