Computed Tomography with Stress Maneuver to Demonstrate Sternoclavicular Joint Dislocation

Burnstein, Mark I.; Pozniak, Myron A.

doi:10.1097/00004728-199001000-00036

Cited by 15 publications

(2 citation statements)

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“…This imaging can be combined with dynamic stress testing to further describe sternoclavicular joint disease. 29 MRI may be useful in the diagnosis of injury to the soft tissues surrounding the joint as well as injury to the intraarticular disc. Given the relatively late ossification of the medial clavicle and the potential for physeal injury in patients under 30 years of age, MRI may also play a role in determining if the epiphysis has been displaced with the clavicle or is still adjacent to the sternum following trauma.…”

Section: Imagingmentioning

confidence: 99%

Rehabilitation Following Sternoclavicular Joint Reconstruction for Persistent Instability

Logan

Shahien

Altıntaş

et al. 2018

Intl J Sports Phys Ther

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Background: Sternoclavicular (SC) joint instability is a rare injury, but one with profound implications given its proximity to vital structures and function as the only true articulation between the upper extremity and axial skeleton. The majority of SC joint instability can be treated non-operatively; however, there is a role for reconstruction in the presence of instability that results in pain and dysfunction that is refractory to conservative management or deformity resulting in functional impairment. Given the lack of inherent osseous stability at the sternoclavicular joint and the role of ligaments as primary stabilizers, surgical intervention with emphasis on ligament reconstruction may be recommended. Safe and effective rehabilitation is conducted through phase progression, with avoidance of premature stress to the healing soft tissue graft. The purpose of this clinical commentary is to provide the senior author's rehabilitation protocol, which utilizes the available scientific literature to inform phase content and progression.

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Section: Imagingmentioning

confidence: 99%

Rehabilitation Following Sternoclavicular Joint Reconstruction for Persistent Instability

Logan

Shahien

Altıntaş

et al. 2018

Intl J Sports Phys Ther

View full text Add to dashboard Cite

show abstract

“…CT can be acquired in a neutral position alone or with the stress maneuver as described in the plain fi lm section, which increases the sensitivity ( Burnstein and Pozniak 1990;Cope 1993). Advantages are the short procedure time, wide availability, and the quality of 3D-reformating with MDCT in the assessment of the direction and degree of a (sub)luxation and evaluation of fractures.…”

Section: Sc Jointmentioning

confidence: 99%