Sternoclavicular joint series

The sternoclavicular radiographic series is a used to evaluate sternoclavicular joint and the proximal clavicle. Imaging of the sternoclavicular joint has since been replaced by computed tomography.

Indications

Sternoclavicular joint radiographs are performed for a variety of indications including:

  • trauma 
  • infection
  • deformity in the absence of trauma 
  • congenital abnormalities 

Projections

Standard projections
  • PA view
    • standard projection demonstrating the sternoclavicular joints articulating with the manubrium
  • anterior oblique views
    • oblique projection best utilized when assessing for joint separation, often performed bilaterally. With the RAO best used to demonstrate the right sternoclavicular joint and the LAO best suited to demonstrate the left sternoclavicular joint 
Additional projections
  • lateral sternal view
    • radiographic investigation of the entire length of the sternum in profile. The view is used to query fractures or infection
  • serendipity view
    • specialized axial projection employed to investigate suspected anterior/posterior dislocations 

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