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

Dec 5, 2019

Ask episode

Chapters

Transcript

Episode notes

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 (Facebook live/video/podcast) 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
- localised osteoarthritis (OA)
- rheumatoid arthritis
- septic arthritis
- atraumatic subluxation
- seronegative spondyloarthropathies
- gout, pseudogout
- SC hyperostosis
- condensing osteitis
- Friedrich’s disease/avascular necrosis
- condensing arthritis
- Friedrich’s disease and
- ‘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

Podcast handout

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Links associated with this episode: