Home > Physio Edge podcast > Physio Edge 095 Sternoclavicular joint pain diagnosis, imaging & red flags with Jo Gibson
Podcast: Physio Edge podcast

Physio Edge 095 Sternoclavicular joint pain diagnosis, imaging & red flags with Jo Gibson

Category: Science & Medicine
Duration: 00:33:43
Publish Date: 2019-12-04 23:50:55

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:

Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter

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