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Sternoclavicular Joint Trauma
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Sternoclavicular (SC) dislocation, subluxation, sprain, dissociation
            • Definitions

              • SC ligament injury with various degrees/directions of displacement of medial clavicle from SC joint

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Deren ME et al: Posterior sternoclavicular dislocations: a brief review and technique for closed management of a rare but serious injury. Orthop Rev (Pavia). 6(1):5245, 2014
                                            2. Martetschläger F et al: Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. Am J Sports Med. 42(4):999-1007, 2014
                                            3. Tepolt F et al: Posterior sternoclavicular joint injuries in the adolescent population: a meta-analysis. Am J Sports Med. 42(10):2517-24, 2014
                                            4. Tepolt F et al: Posterior sternoclavicular joint injuries in skeletally immature patients. Orthopedics. 37(2):e174-81, 2014
                                            5. Wijeratna MD et al: Novel assessment of the sternoclavicular joint with computed tomography for planning interventional approach. Skeletal Radiol. 42(4):473-8, 2013
                                            6. Koch MJ et al: Proximal clavicle physeal fracture with posterior displacement: diagnosis, treatment, and prevention. Orthopedics. 35(1):e108-11, 2012
                                            7. Van Tongel A et al: Management of anterior sternoclavicular dislocation: a survey of orthopaedic surgeons. Acta Orthop Belg. 78(2):164-9, 2012
                                            8. Glass ER et al: Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series. J Trauma. 70(5):1294-8, 2011
                                            9. Gottschalk HP et al: Shoulder girdle: patterns of trauma and associated injuries. J Orthop Trauma. 25(5):266-71, 2011
                                            10. Ernberg LA et al: Radiographic evaluation of the acromioclavicular and sternoclavicular joints. Clin Sports Med. 22(2):255-75, 2003
                                            11. Aslam M et al: Pictorial review: MRI of the sternum and sternoclavicular joints. Br J Radiol. 75(895):627-34, 2002
                                            12. Salgado RA et al: Post-traumatic posterior sternoclavicular dislocation: case report and review of the literature. Emerg Radiol. 9(6):323-5, 2002
                                            13. McCulloch P et al: Radiographic clues for high-energy trauma: three cases of sternoclavicular dislocation. AJR Am J Roentgenol. 176(6):1534, 2001
                                            14. Ferrera PC et al: Sternoclavicular joint injuries. Am J Emerg Med. 18(1):58-61, 2000
                                            15. van Holsbeeck M et al: Radiographic findings of spontaneous subluxation of the sternoclavicular joint. Clin Rheumatol. 11(3):376-81, 1992
                                            16. Destouet JM et al: Computed tomography of the sternoclavicular joint and sternum. Radiology. 138(1):123-8, 1981
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Sternoclavicular (SC) dislocation, subluxation, sprain, dissociation
                                                      • Definitions

                                                        • SC ligament injury with various degrees/directions of displacement of medial clavicle from SC joint

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        • Gross Pathologic & Surgical Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Deren ME et al: Posterior sternoclavicular dislocations: a brief review and technique for closed management of a rare but serious injury. Orthop Rev (Pavia). 6(1):5245, 2014
                                                                                      2. Martetschläger F et al: Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. Am J Sports Med. 42(4):999-1007, 2014
                                                                                      3. Tepolt F et al: Posterior sternoclavicular joint injuries in the adolescent population: a meta-analysis. Am J Sports Med. 42(10):2517-24, 2014
                                                                                      4. Tepolt F et al: Posterior sternoclavicular joint injuries in skeletally immature patients. Orthopedics. 37(2):e174-81, 2014
                                                                                      5. Wijeratna MD et al: Novel assessment of the sternoclavicular joint with computed tomography for planning interventional approach. Skeletal Radiol. 42(4):473-8, 2013
                                                                                      6. Koch MJ et al: Proximal clavicle physeal fracture with posterior displacement: diagnosis, treatment, and prevention. Orthopedics. 35(1):e108-11, 2012
                                                                                      7. Van Tongel A et al: Management of anterior sternoclavicular dislocation: a survey of orthopaedic surgeons. Acta Orthop Belg. 78(2):164-9, 2012
                                                                                      8. Glass ER et al: Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series. J Trauma. 70(5):1294-8, 2011
                                                                                      9. Gottschalk HP et al: Shoulder girdle: patterns of trauma and associated injuries. J Orthop Trauma. 25(5):266-71, 2011
                                                                                      10. Ernberg LA et al: Radiographic evaluation of the acromioclavicular and sternoclavicular joints. Clin Sports Med. 22(2):255-75, 2003
                                                                                      11. Aslam M et al: Pictorial review: MRI of the sternum and sternoclavicular joints. Br J Radiol. 75(895):627-34, 2002
                                                                                      12. Salgado RA et al: Post-traumatic posterior sternoclavicular dislocation: case report and review of the literature. Emerg Radiol. 9(6):323-5, 2002
                                                                                      13. McCulloch P et al: Radiographic clues for high-energy trauma: three cases of sternoclavicular dislocation. AJR Am J Roentgenol. 176(6):1534, 2001
                                                                                      14. Ferrera PC et al: Sternoclavicular joint injuries. Am J Emerg Med. 18(1):58-61, 2000
                                                                                      15. van Holsbeeck M et al: Radiographic findings of spontaneous subluxation of the sternoclavicular joint. Clin Rheumatol. 11(3):376-81, 1992
                                                                                      16. Destouet JM et al: Computed tomography of the sternoclavicular joint and sternum. Radiology. 138(1):123-8, 1981