Reconstruction of sternoclavicular joint with excision of medial clavicle and internal fixation to the first rib

Medial sternoclavicular joint (SCJ) pathologies pose significant challenges for patients when primary treatment options for clavicular instability fail. Constituting approximately 3-5% of shoulder injuries,3,8 clavicular dislocation can disrupt the main stabilizers of the SCJ (the posterior ligament and the costoclavicular ligaments), resulting in instability.13,16 Medial clavicle bone loss can present in chronic scenarios or following failed surgical treatments, limiting salvage reconstructive options.