Orthopedic case of the week: Sternoclavicular (SC) joint injection.
Orthopedic case of the week:
Sternoclavicular (SC) joint injection.34 year old with 4 years of chronic SC joint pain after fall jamming her shoulder. Previously treated with long term home exercise program (she’s a physical therapist). She presented 10 months ago with progressive pain and unable to do any presssing exercises at the gym. I performed a steroid injection into the SC joint which provided 💯% complete relief. Pain symptoms returned 2 months ago. She presented today requesting repeat injection.
The clavicle is the bright line middle of the screen on the left. The manubrium of the sternum is on the right. The dark SC joint is in the middle of the screen. You can see the needle (white circle) coming in and out of the image as I inject. You can see the fluid filling the joint just left of the needle. As there are vital structures immediately deep to this joint, this is a risky procedure and should not be attempted by practitioners without notable guided injection skill. I have been performing ultrasound guided injections since 2009.
If her pain returns again, we will switch to PRP.
SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
(817) 661-8498
Assistant Professor – TCU School of MedicinePosted by Steve Meyers, MD – Sports & Regenerative Orthopedics on Thursday, July 24, 2025
34 year old with 4 years of chronic SC joint pain after fall jamming her shoulder. Previously treated with long term home exercise program (she’s a physical therapist). She presented 10 months ago with progressive pain and unable to do any presssing exercises at the gym. I performed a steroid injection into the SC joint which provided 💯% complete relief. Pain symptoms returned 2 months ago. She presented today requesting repeat injection.
The clavicle is the bright line middle of the screen on the left. The manubrium of the sternum is on the right. The dark SC joint is in the middle of the screen. You can see the needle (white circle) coming in and out of the image as I inject. You can see the fluid filling the joint just left of the needle. As there are vital structures immediately deep to this joint, this is a risky procedure and should not be attempted by practitioners without notable guided injection skill. I have been performing ultrasound guided injections since 2009.
If her pain returns again, we will switch to PRP.
SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
(817) 661-8498
Assistant Professor – TCU School of Medicine
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