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    Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook146 pages1 hour

    Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Sternoclavicular Joint Injury, Diagnosis and Treatment and Related Diseases

    The Sternoclavicular Joint is a very strong joint that provides the main skeletal connection between the axial skeleton and the upper limb.

    The Sternoclavicular Joint is stable due to its very strong supporting ligaments from the clavicle to the sternum.

    Sternoclavicular joint injuries are featured by injury to the sternoclavicular joint and surrounding structures.

    Almost invariably traumatic in cause, they vary in severity from a mild sprain to complete disruption.

    Injuries to the sternoclavicular joint (SCJ) are relatively rare, being responsible for less than 5% of shoulder girdle injuries.

    People who have slack joint ligaments (often "double-jointed") are more likely to dislocate the SCJ.

    After a traumatic incident the joint may become less stable and keep popping out (unstable) or stay dislocated (locked dislocation)

    Sternoclavicular joint injuries are categorized into 3 grades:

    1. First degree injury: a simple sprain, due to an incomplete rupture or stretching of the sterno-clavicular and costo-clavicular ligaments.

    This is the most frequent form of sterno-clavicular joint injury.

    2. Second degree injury: the clavicle sub-luxes either anteriorly or posteriorly from its manubrial attachment, producing a total tear of the sternoclavicular ligament but at most, only a partial tear of the costo-clavicular ligament

    3. Third degree injury: a complete tear of the sternoclavicular and costoclavicular ligaments, permitting a total dislocation of the clavicle from the manubrium.

    Injuries and osteoarthritis are the most frequent disorders linked with the SC joint.

    Injuries to the SC joint can differ from a mild sprain, in which the surrounding ligaments are stretched (the most often observed injury), to a fracture of the clavicle itself.

    In infrequent instances, a strong blow to the shoulder can produce an injury in which the joint dislocates totally from its normal position.

    Joint dislocations are categorized as:
    1. Anterior—the end of the clavicle is thrust forward, in front of the sternum
    2. Posterior—the end of the clavicle is thrust backward, behind the sternum and deep into the upper chest

    While both kinds of dislocations are severe injuries, a posterior dislocation needs more urgent medical attention.

    In a posterior dislocation, the vital structures behind the SC joint can be pressed upon, causing life-threatening disorders with breathing or blood flow.

    Anterior dislocations are much more frequent (by a 9:1 ratio) normally happening from an indirect action, such as a direct blow to the anterior shoulder that rotates the shoulder backwards thus passing the stress on to the sternoclavicular joint.

    Posterior dislocations are normally a result of a force pushing the shoulder forwards, or from a direct injury to the superior sternal or medial clavicular surfaces.

    Normally, injuries to the joint are produced by some type of high-contact event, such as a:
    1. Collision or hard fall during a contact sport like football or rugby
    2. Motor vehicle accident

    Due to the considerable force required to produce an injury, patients may also have extra injuries to the chest, airways, and extremities.

    The diagnosis is often a noticeable painful bump at the sternoclavicular joint and the injury can be confirmed by X-rays or CT scan.

    The initial treatment is to try to put the joint back into place (reduction).

    In some patients, the closed reduction for a posterior dislocation is not effective.

    In this setting, the doctor may have to do an open reduction of the SC joint

    TABLE OF CONTENT
    Introduction
    Chapter 1 Sternoclavicular Joint Injury
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Ac

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJan 7, 2020
    ISBN9780463895467
    Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Sternoclavicular Joint Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Sternoclavicular Joint Injury,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2020 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Sternoclavicular Joint Injury, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Sternoclavicular Joint Injury)

      This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      My diagnosis and treatment capability has improved tremendously from my continued education.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Sternoclavicular Joint Injury

      What is Sternoclavicular Joint Injury?

      Sternoclavicular joint injuries are featured by injury to the sternoclavicular joint and surrounding structures.

      Almost invariably traumatic in cause, they vary in severity from a mild sprain to complete disruption.

      Injuries to the sternoclavicular joint (SCJ) are relatively rare, being responsible for less than 5% of shoulder girdle injuries.

      The SCJ is normally a very strong and stable joint due to its very strong supporting ligaments.

      It can dislocate from its joint or become unstable.

      This may follow trauma or injury.

      People who have slack joint ligaments (often double-jointed) are more likely to dislocate the SCJ.

      After a traumatic incident the joint may become less stable and keep popping out (unstable) or stay dislocated (locked dislocation)

      Sternoclavicular joint injuries are categorized into 3 grades:

      1. First degree injury: a simple sprain, due to an incomplete rupture or stretching of the sterno-clavicular and costo-clavicular ligaments.

      This is the most frequent form of sterno-clavicular joint injury.

      2. Second degree injury: the clavicle sub-luxes either anteriorly or posteriorly from its manubrial attachment, producing a total tear of the sternoclavicular ligament but at most, only a partial tear of the costo-clavicular ligament

      3. Third degree injury: a complete tear of the sternoclavicular and costoclavicular ligaments, permitting a total dislocation of the clavicle from the manubrium.

      Injuries and osteoarthritis are the most frequent disorders linked with the SC joint.

      Injuries

      Injuries to the SC joint can differ from a mild sprain, in which the surrounding ligaments are stretched (the most often observed injury), to a fracture of the clavicle (collarbone) itself.

      In infrequent instances, a strong blow to the shoulder can produce an injury in which the joint dislocates totally from its normal position.

      Joint dislocations are categorized as either anterior or posterior, depending on the direction in which the clavicle (collarbone) is pushed during the injury:

      1. Anterior—the end of the clavicle is thrust forward, in front of the sternum (breastbone)

      2. Posterior—the end of the clavicle is thrust backward, behind the sternum and deep into the upper chest

      While both kinds of dislocations are severe injuries, a posterior dislocation needs more urgent medical attention.

      In a posterior dislocation, the vital structures behind the SC

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