Operative Technique

Sternoclavicular Joint Excision

Resection Arthroplasty

oblique skin incision over the SC joint
periosteum is carefully elevated off the joint
an oblique osteotomy is made (proximal-lateral to distal medial)
- osteotomy being made medial to the costoclavicualr ligaments
essential to preserve the costoclavicular ligament inorder to maintain stability of the medial portion of the clavicle in relation to the manubrium & to the first rib
hazards
- superior displacement & instability of the medial clavicle