Physio Edge podcast

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

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