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Sternoclavicular Joint (SC joint) Disorders


Sternoclavicular Joint Specialist

Severe trauma or a direct blow to the side of the body such as in motor vehicle accidents or contact sports like football may cause injuries to the SC joint in the shoulder and lead to stretching or tearing of the ligaments. Sternoclavicular Joint specialist, Dr. Kelechi Okoroha provides diagnosis and individualized non-surgical and surgical management for SC joint disorders in Minneapolis. Contact Dr. Okoroha’s team for an appointment today!

What is the Sternoclavicular Joint (SC joint)?

The sternoclavicular joint is the joint between the breastbone (sternum) and the collar bone (clavicle). The SC joint is one of the 4 joints that complete the shoulder and is the only joint that links the arm to the body. Like any other joints, the SC joint is covered by articular cartilage that helps the bones slide effortlessly against each other during arm and shoulder movement. Tough connective tissue known as ligaments surrounds the SC joint providing stability and strength.

Causes of Sternoclavicular Joint Disorders

Injuries to the SC joint can include stretching or tearing of the ligaments. It is usually caused due to severe trauma or a direct blow to the side of your body such as in motor vehicle accidents or contact sports like football or rugby.

When a sternoclavicular joint disorder is suspected, it is important to schedule an orthopedic consultation for proper examination and care. Dr. Kelechi Okoroha is a sternoclavicular joint specialist who provides detailed examination and care for patients with sternoclavicular joint disorders in Minneapolis, St. Paul, Rochester, Eden Prairie, Minnetonka, Minnesota and beyond.

Disorders of the Sternoclavicular Joint

The sternoclavicular joint is susceptible to the same disease processes as other synovial joints, including:

  • Infection
  • Instability from injury
  • Rheumatoid disease
  • Osteoarthritis
  • Injuries ranging from a sprain to a fracture
  • Joint dislocations

Symptoms of Sternoclavicular Joint Disorders

Typically, symptoms of sternoclavicular joint disorders include:

  • Tenderness, bruising or swelling over the joint
  • Limited range of motion in the arm
  • Grinding or crunching sound on arm movement
  • Chills, fever, or night sweats along with redness over the joint due to infection
  • Simultaneous radiation of pain to other joints due to an inflammatory condition

Diagnosis of Sternoclavicular Joint Disorders

Medical history, physical examination, and analyzing your symptoms are sufficient to diagnose the condition. However, Dr. Okoroha may also recommend imaging tests such as X-rays, MRI, and CT scans to confirm the diagnosis. 

Treatment for Sternoclavicular Joint Disorders

After careful review of your history and examination, Dr. Okoroha will provide an individualized treatment plan to help you return to your normal function.

Treatment for sternoclavicular joint disorders may be surgical or non-surgical and most cases of SC joint disorders can be treated non-surgically.

Non-Surgical Treatment

  • Medications: NSAIDs or non-steroidal anti-inflammatory drugs like naproxen and ibuprofen can be used to bring down swelling and pain in the SC joint.
  • Immobilization: A shoulder sling can be used to restrict arm movement during an injury or fracture and allow healing.
  • Activity Modification: Avoiding activities that induce painful symptoms is recommended for patients with SC joint osteoarthritis.
  • Injections: Corticosteroid injections to the joint are recommended for patients with an inflammatory condition or osteoarthritis to provide relief from pain and swelling.
  • Closed Reduction: During this procedure, Dr. Okoroha will manipulate a dislocated clavicle back into place without making a cut in the skin.

Surgical treatment is performed only if non-surgical treatments fail and include:

ORIF (open reduction and internal fixation): During this procedure, Dr. Okoroha will reposition the pieces of the fractured bone surgically so that the bones are back in their proper alignment and then secure the fragments of the bones to each other by using metal plates, screws, wires, or pins.

Other procedures: An SC joint infection requires an urgent operation wherein the joint is opened up and the infection is drained out followed by a course of antibiotics.

For severe osteoarthritis of the SC joint, Dr. Okoroha may recommend removing bone from the arthritic and painful end of the clavicle to allow more room for movement.

If you are experiencing a sternoclavicular joint disorder, please contact Dr. Kelechi Okoroha, orthopedic shoulder specialist treating patients in Minneapolis, St. Paul, Rochester, Eden Prairie, Minnetonka, Minnesota and beyond.