The Floating Clavicle: Surgical Technique for Management of an Ipsilateral Acromioclavicular and Sternoclavicular Joint Dislocation

• DOI: 10.1016/j.eats.2023.01.006
• Publication Date: 2023-04-17T07:03:36Z
• Authors: Lasun O. Oladeji; Bradley Vivace; Shayne Kelly; Sebastian Wiesemann; Steven F. DeFroda
• Keywords: Sternoclavicular joint; Coracoclavicular ligament; Joint dislocation

Bipolar "floating" clavicle injuries are infrequent upper-extremity that occur secondary to a high-energy trauma, which can cause dislocation at the sternoclavicular (SC) and acromioclavicular joints. Given rarity of this injury, there is not consensus regarding clinical management. Although anterior dislocations be managed nonoperatively, posterior may pose threat chest-wall structures typically surgically. Here, we present our preferred technique for concomitant management locked SC joint with associated grade 3 dislocation. Reconstruction both ends was performed in case, using figure-of-8 gracilis allograft nonabsorbable suture reconstruction joint, an anatomic coracoclavicular ligament semitendinosus suture.