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Surgery: Surgery is necessary in cases of severe instability of the joint when conservative measures are ineffective. Your surgeon will make small incisions in the joint through which specialized instruments can be inserted to repair and reattach the torn ligaments and stabilize the bones.
Non-traumatic causes of sternoclavicular pain include arthropathies (osteoarthritis, rheumatoid, seronegative, crystal), infection (septic arthritis or osteomyelitis), SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) syndrome, condensing osteitis, Friedrich disease, and multidirectional instability.
Anatomy. The sternoclavicular (SC) joint is the link between the clavicle (collarbone) and the sternum (breastbone). The SC joint supports the shoulder and is the only joint that connects the arm to the body.
A sternoclavicular sepa- ration occurs when the ligament tears. How does it occur? A sternoclavicular joint separation most commonly occurs when there is a direct to the sternum or a fall onto the shoulder or outstretched hands that causes a force along the length of the collarbone.
The sternoclavicular (SC) joint is a saddle-shaped, synovial joint that is the primary skeletal connection between the axial skeleton and the upper limb. A fracture of the clavicle renders the upper limb virtually useless.
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The sternoclavicular joint is a joint at the center of your upper chest, connecting your breastbone and collarbone, and held together by a strong band of ligaments. A sternoclavicular separation occurs when the ligaments connecting these two bones together are injured.

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