Fig. 2

Surgical procedures of the three-stage treatment including debridement, bone transportation, and tendon autografting. a–c The first stage: resection and debridement. A preoperative CT image shows bone destruction with surrounding inflammation. d The second stage: bone transportation. The clavicle length is increased using distraction osteogenesis. e, f The third stage: tendon grafting. An autologous palmaris tendon graft is placed in a figure-of-eight fashion for restoring the stability of the SCJ