PubMed · 4490912
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C P Monty. 1973-08-31. Arthroplasty.. https://pubmed.ncbi.nlm.nih.gov/4490912/
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We describe the mid-term clinical results of the surgical treatment of primary degenerative arthritis of the sternoclavicular joint in eight women. They had not responded to conservative treatment and underwent a limited resection arthroplasty. For pre- and postoperative clinical evaluation we used the Rockwood score for the sternoclavicular joint. Postoperatively, the Constant score was also determined. The mean follow-up was 31 months (10 to 82). The median Rockwood score increased from 6 to 12.5 points. The median postoperative Constant score was 87 (65 to 91). Four patients had an excellent, three a good, and one a poor result. All patients were pleased with the cosmetic result. Resection arthroplasty is an effective and safe treatment for chronic, symptomatic degenerative arthritis of the sternoclavicular joint with a high degree of patient satisfaction.
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Elbow stability relies on a complex interaction between the bony articulations of the elbow joint, the capsuloligamentous structures, and dynamic muscle restraints. Understanding the functional anatomy of the elbow and the relative contribution of the various elements to elbow stability is important in developing a strategy for diagnosis and management. Elbow instability presents a spectrum from minor subluxation to dislocation. The treatment of an acute dislocation is determined by the stability of the elbow after reduction and the fixation of associated fractures. Isolated acute tears of the LCL are uncommon and are generally treated nonsurgically. On the medial side, augmented repair is required for return to throwing sports. Chronic MCL insufficiency results in valgus instability, which usually is a problem only for the throwing athlete. Chronic LCL insufficiency may lead to symptomatic posterolateral joint subluxation. Free tendon graft reconstruction can be successful on both sides of the joint, with a return of stability and improved elbow function.