Mr Arpit Jariwala, Consultant Upper Limb and Trauma Surgeon at Ninewells Hospital and Medical School travelled to Leicester General Hospital, UK to meet Upper Limb Surgeon, Ms Alison Armstrong, who specialises in injuries and disorders of the sternoclavicular joint. The aim of Mr Jariwala’s visit was to gain a better understanding of the issues surrounding sternoclavicular joint disorders and to directly observe the surgical procedure therefore allowing it to be offered to carefully selected patients in Dundee.

Continued disability from injuries and disorders of the sternoclavicular joint are rare and are generally treated non-surgically. However, when conservative measures fail it is a difficult scenario due to the complexity of the surgical procedure owing to the critical surrounding structures making both patients and surgeons apprehensive of undertaking a surgical route. Upper Limb Units such as Leicester, Wrightington and Stanmore which regularly undertake these specialised surgeries around the sternoclavicular joint have noted good outcomes for surgical intervention following failed conservative management.

Mr Jariwala stated: “It was a brilliant training day with lots of pearls of wisdom regarding the management of these complex injuries and disorders and also plenty tips and tricks on surgical technique by Ms Armstrong; truly a well spent day!”

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