Sternoclavicular Joint Dislocation

What is sternoclavicular joint dislocation, and how is it treated?

If you’ve been experiencing shoulder pain or suspect a sternoclavicular joint dislocation, you’ve come to the right place. In this article, we will provide you with an in-depth understanding of sternoclavicular joint dislocations, including their causes, symptoms, diagnosis, and treatment options.

Our dedicated team of orthopedic surgeons at OrthoNeuro is here to provide you with exceptional care for sternoclavicular joint dislocations and a wide range of shoulder injuries. If you’re experiencing shoulder pain or suspect a joint dislocation, we encourage you to contact us today to schedule a consultation. We have multiple practices located throughout Columbus, Ohio.

What is Sternoclavicular Joint Dislocation?

The sternoclavicular joint (also known as the SC joint) is the connection between the sternum (breastbone) and the clavicle (collarbone). This bone joint plays a vital role in stabilizing the shoulder girdle and enabling a wide range of motion.

However, this joint is susceptible to dislocation, which occurs when the clavicle becomes displaced from its normal position in relation to the sternum.

When the clavicle dislocates outward, it is called an anterior sternoclavicular dislocation. When it dislocates inward, it is called a posterior sternoclavicular dislocation.

What Causes Sternoclavicular Joint Dislocation?

Sternoclavicular joint dislocation can be caused by a variety of factors. One common cause is a significant force applied to the shoulder area, such as during a motor vehicle accident or falling onto an outstretched arm.

Symptoms of Sternoclavicular Joint Dislocation

If you have a sternoclavicular joint dislocation, you may experience the following symptoms:

Pain and tenderness around the sternoclavicular joint
Swelling and bruising in the shoulder area
Limited range of motion in the shoulder
Pain while breathing deeply or swallowing
A visible deformity or bump at the site of the dislocation

The appearance of the deformity will depend on whether it is an anterior or posterior dislocation. An anterior dislocation will usually show as a bump as the end of the medial clavicle pushes forward. Posterior dislocations may be seen as a subtle dimple.

Posterior sternoclavicular joint dislocation can potentially damage the mediastinal structures such as the heart, great vessels, trachea, and essential nerves. Therefore, proper diagnosis is urgent.

Diagnosing Sternoclavicular Joint Dislocation

Our experienced orthopedic surgeons at OrthoNeuro will perform a thorough evaluation to diagnose your sternoclavicular joint dislocation. We will begin by discussing your symptoms and medical history. A physical examination of the affected shoulder, including palpation, will be conducted to identify any tenderness or deformity.

To confirm the diagnosis, your doctor may order additional tests, such as X-rays, which can provide detailed images of the joint and detect any bone or joint abnormalities. In some cases, advanced imaging studies, like CT scans or MRI scans, may be required to assess the soft tissues, ligamentous structures, or potential associated injuries.

Diagnosis will help to distinguish a sternoclavicular joint injury from a medial clavicle physeal fracture.

Treatment and Recovery

The treatment for sternoclavicular joint dislocation depends on the severity of the injury and whether it is an acute or chronic dislocation. Chronic anterior dislocations are usually treated with conservative treatment options. These may include rest, immobilization with a sling, pain management, and physical therapy exercises to regain strength and range of motion.

For more severe or persistent dislocations, your orthopedic surgeon may recommend closed reduction, a procedure where the dislocated joint is manipulated back into its normal position. When acute posterior dislocations are treated with closed reduction, the shoulder may be immobilized in a sling for up to 6 weeks.

In rare cases, open reduction may be necessary to realign the joint accurately. Following reduction, your doctor may prescribe a customized rehabilitation program to aid in the recovery process.

Getting Help for Your Shoulder Pain

Our dedicated team of orthopedic surgeons at OrthoNeuro is here to provide you with exceptional care for sternoclavicular joint dislocations and a wide range of shoulder injuries. If you’re experiencing shoulder pain or suspect a joint dislocation, we encourage you to contact us today to schedule a consultation.

Remember, early diagnosis and appropriate treatment can significantly improve your chances of a successful recovery. Don’t let shoulder pain hold you back from living your life to the fullest. Trust OrthoNeuro—your partner in orthopedic excellence. We have many convenient locations throughout Columbus, OH.

Medically reviewed by B. Rodney Comisar, MD, FAAOS

Shoulder Specialists

IF YOU HAVE SEVERE SHOULDER PAIN AND STIFFNESS THAT PREVENTS YOU FROM MOVING YOUR SHOULDER CORRECTLY, CALL ORTHONEURO IN COLUMBUS, OHIO, OR REQUEST AN APPOINTMENT ONLINE FOR EXPERT ORTHOPEDIC SHOULDER TREATMENTS.