Sternoclavicular joint pain diagnosis, imaging & red flags with Jo Gibson

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.clinicaled...
* Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson www.clinicaled...
* 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.clinicaled...
* Infographics by Clinical Edge www.clinicaled...

[@mandymanning3678]

great video very helpful

[@marylincoln5857]

I have Clavicular Pain When I lean Over.. I had a few serous falls.. over the last 10 years..

[@forestoneil2297]

How do you treat condensing osteitis of the clavicle? My wife has it and the local doctors are clueless

[@tylerdillenbeck8232]

How can I schedule an appointment with you I have an sc joint subluxation causing me pain

[@davidclark6172]

I'm 69 I slept on my right side which I've always done I woke up in the morning and I felt bruised around my clavicle what ties in with the sternum if I'm taking off my shirt when I take my arm my right arm down that causes pain it's not as bad as it was now but it's not getting any better I guess I'll get some x-rays any ideas? Also thanks for the video you're a wealth of knowledge

[@clairegamban8352]

Mine clicks and sound a bit like a squelch when i lift my shoulder up and down 😣

[@irfanm5892]

Hi im from india ive been having sc joint pain for about 3 years and the doctors here are unable to diagnose my illness. What should i do? Anyone help would be appreciated thanks.

[@ratheebaabdhulla9693]

P

[@tonsizefun7376]

Hi bro. Am also from india and i have SC joint issue. How r u now. Did you get treatment for this. Pls reply

[@irfanm5892]

@@tonsizefun7376 no bro we should get in touch

[@cabbagerolls]

Hi - I just came across your video. I've been recently diagnosed with arthritis in my SC joint (39 year old women). My pain started to on set when I was 32 (manual labour, repetitive movement and lifting - not from trauma injury), and I was over looked for year since my Xrays would come back not showing anything. Honestly, I also felt like I was was being overlooked because I was young and "fit". My pain started getting worse in 2020. The pandemic delayed imaging longer, and I just recently got my CT scan where it showed my arthritis. My questions is, do you know if prolotherapy injections have shown to help? Or would I be looking at cortisone injections only? Any comments you have on injection and the results you've seen. ie. how long the therapy seem to last, would be SO helpful. I'm trying to navigate my way forward

[@gustavomanzano1145]

l´m following this, l have the same diagnosis, l´m a 30 year old male.

[@misst3419]

Following, as, well, same diagnosis, and 49 years old female.

[@rshdragon1029]

Mine pushes out what should I do

[@graysonwilson3343]

See a doctor