SC Joint Injuries
Sternoclavicular joint dislocations and disorders
Understanding SC Joint Injuries
The SC joint is stabilized by strong ligaments making dislocation uncommon. High-energy mechanisms are usually required: motor vehicle accidents, sports collisions (lateral compression to shoulder), or direct blows.
⚠️ Emergency Warning
Posterior SC dislocation is a surgical emergency. Symptoms of airway compromise (difficulty breathing, stridor) or vascular injury (pulse changes, swelling) require immediate evaluation.
Treatment
• Usually non-operative
• Sling for comfort (2-4 weeks)
• Ice and NSAIDs
• Closed reduction rarely needed
• May have persistent cosmetic bump
• Urgent evaluation required
• CT angiogram to assess vessels
• Closed reduction in OR (with thoracic surgery standby)
• Open reduction if closed fails
• May need ligament reconstruction