Table 1.

Pearls and Pitfalls of Surgical Management of the Floating Clavicle

Pearls	Pitfalls
Consider recruiting cardiothoracic surgery for assistance with the SC joint portion of the case, given the proximity of the associated neurovascular structures.	Failure to adequately protect the mediastinal structures while drilling for the SC joint reconstruction.
Wide draping of the extremity provides for the ability to perform both reconstructions without the need for tearing down the operative field.	Inadequate spacing of the drill holes for the SC-joint reconstruction may lead to iatrogenic fracture.
Ligamentous biologic reconstruction using a figure-of-8 configuration demonstrates robust time zero biomechanical strength.	Fixation techniques using orthopaedic hardware are associated with complications such as implant migration, prominence, and secondary reoperation.

SC, sternoclavicular.