Ledge Plating Technique for Unstable Posterior Sternoclavicular Dislocation

Summary: Of eight sternocostoclavicular joint dislocations treated at our institution over an 18-month period, two unstable posterior dislocations were treated with a safe and simple “ledge plating” technique. The ledge of plate left without screws prevents posterior loss of reduction without the use of wires or pins and provides enough stability to allow early motion and rehabilitation.