095. 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 (Facebook live/video/podcast) with Jo Gibson (Clinical Physiotherapy Specialist ), 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

Links associated with this episode:

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