Sternoclavicular Joint Injection

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Sternoclavicular Joint Injection
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.

Technique

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

Aftercare

Rest for a week then do progressive mobilisation.

Literature Review

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,