As reported by Tavakkolizadeh, arthroscopy of the SC joint was originally thought to enhance patient outcomes by improving visualization, minimizing surgical trauma, limiting the risk to vital retrosternal structures, avoiding postoperative instability, and hastening recovery times while also improving cosmesis. Because of these advantages and with the addition of new encouraging outcomes data, SC joint arthroscopy has become a viable and, potentially, favorable modality for the treatment of symptomatic SC joint osteoarthritis in carefully selected patients. However, very few orthopaedic surgeons or arthroscopists have experience with the technique.
Therefore the purposes of this article are (1) to describe pertinent arthroscopic anatomy related to the SC joint, (2) to present and demonstrate a technique for arthroscopic SC joint resection arthroplasty, and (3) to illustrate a case in which bilateral SC joint decompressions were necessary in a young, active patient with symptomatic degenerative osteoarthritis of the SC joint.
Full Article: Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report