CPT® Code 23532

The sternoclavicular joint (SCJ) is a critical anatomical structure that functions as a saddle-type joint, allowing for a wide range of motion in the clavicle, which is essential for the movement of the arm and shoulder. This joint is formed by the articulation of the medial end of the clavicle with the manubrium, the upper part of the sternum. The stability and strength of the SCJ are largely dependent on the integrity of the surrounding joint capsule and the supporting ligaments. Dislocations of the SCJ can occur either acutely or chronically, necessitating surgical intervention to restore proper alignment and function. The open treatment of sternoclavicular dislocation, as described by CPT® Code 23532, involves the use of a fascial graft, which is a surgical technique that includes the harvesting of a graft and its application to stabilize the joint. This procedure is performed through a skin incision over the SCJ, allowing for the dissection of overlying soft tissue to expose the joint capsule. The surgical approach may involve various techniques for reducing the dislocation and securing the joint, ultimately aiming to restore normal function and range of motion in the shoulder and arm.