8-10 cm curvilinear incision overlying the SCJ. Once through the skin and subcutaneous tissue, a confluent fascial layer is encountered, and the origin of the pectoralis major and insertion of the sternocleidomastoid are incised and elevated sharply.
A T-shaped capsulotomy is made into the SCJ, and the capsule is elevated subperiosteally roughly 1 cm to either side of the joint line. A 4.5 mm drill is used to create two anteroposterior tunnels, one in the clavicle, and one in the sternum, roughly