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Sternoclavicular Joint Injection
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Sternoclavicular Joint Injection | |
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Indication | Sternoclavicular Joint Pain and Instability |
Syringe | 1mL |
Needle | 25G 16mm |
Steroid | 10mg triamcinolone |
Local | 0.75 ml 2% |
Volume | 1mL |
Patients usually respond well to one steroid injection. The topics of sternoclavicular joint pain and sternoclavicular joint anatomy are addressed elsewhere.
Anatomy
The sternoclavicular joint has a small meniscus which can be injured. The joint line runs obliquely laterally superiorly to inferiorly. It can be identified by asking the patient to protract and retract the shoulder, and palpating the joint at the medial end of the clavicle.
Indications
Contraindications
Pre-procedural Evaluation
Equipment
Technique
Ultrasound Guided
Fluoroscopy Guided
Landmark Guided
- Patient sitting supported with arm is slight external rotation
- Identify the mid-point of the joint line.
- Insert needle perpendicularly through the joint capsule
- Inject solution as a bolus
Complications
Aftercare
Rest for a week then do progressive mobilisation.
Videos
See Also
External Links
References
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,