The Shoulder

Shoulder Girdle

Sprain of the sterno-clavicular joint

Symptoms and signs

A sprain usually results of a fall on the outstretched arm. Occasionally a sprain is the result of overuse which mainly occurs in osteoarthrotic joints.
Pain is felt over the lateral manubrial angle and may spread along the clavicle.
All active and passive movements of the shoulder girdle elicit pain.
Resisted movements are negative.
The accessory passive horizontal adduction of the arm is usually the most painful movement.

Treatment

One or two infiltrations with 20 mg of triamcinolone at the superficial and deep ligaments usually gives sufficient relief of the complaints. Technique

Preliminary Examination / Interpretation / Pathology of Shoulder Girdle / Sternoclavicular Lesions