The sternoclavicular joint (SCJ) can cause pain locally, or refer into the neck and shoulder. With a relatively high incidence of serious and potentially life-threatening pathology at the SCJ, it’s important to diagnose the source of SCJ pain. In this video with Jo Gibson (Clinical Specialist Physiotherapist), you’ll discover:
- How to identify and diagnose the SCJ as the source of pain.
- Where does the SCJ commonly refer pain to?
- What pathologies cause SCJ pain
- What activities & movements commonly reproduce pain in the SCJ?
- Who develops SCJ pain?
- Which differential diagnosis (DDx) are important to identify, including
a.) localised osteoarthritis (OA)
b.) rheumatoid arthritis
c.) septic arthritis
d.) atraumatic subluxation
e.) seronegative spondyloarthropathies
f.) gout, pseudogout
g.) SC hyperostosis
h.) condensing osteitis
i.) Friedrich’s disease/avascular necrosis
j.) condensing arthritis
k.) Friedrich’s disease and
l.) ‘SAPHO’ (Synovitis Acne Pustulosis Hyperostosis Osteitis) syndrome
- How does DDx impact prognosis?
- What role does imaging have with the SCJ?
- SCJ Imaging - MRI vs CT vs Xray.
- If pain refers down to the anterior chest, what other structures may be involved?
- Tietze syndrome at the costochondral junction.
- Costochondritis - who develops it, is there a mechanism of injury?
- Red flags you need to be aware of around the SCJ
- Case study of an SCJ patient where a potentially life-threatening illness was identified.
- Other red flags - infection, HIV, septic arthritis, diabetes, ankylosing spondylitis, gout.
- What investigations are important for SCJ pain patients?
- What are realistic expectations for prognosis and resolution of SCJ symptoms?
- How can you rehab patients with SCJ pain?
- Costochondral joint pain.
- Rehab following clavicular ORIF
- When is arthroscopic release suitable in frozen shoulder patients
Links associated with this video:
* Accurately assess, diagnose & treat frozen shoulder, with this free videos series from Jo Gibson www.clinicaledge.co/shoulder
* Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson www.clinicaledge.co/shoulder
* Comprehensively assess and treat shoulder pain with the Shoulder: Steps to Success online course at clinicaledge.co/shouldersuccess
* Improve assessment & treatment for all other musculoskeletal and sports injuries with a free trial Clinical Edge membership www.clinicaledge.co/sign-up
* Infographics by Clinical Edge www.clinicaledge.co/blog