Sternoclavicular joint sprain

Overview

A sternoclavicular sprain is injury to the joint connecting the collarbone to the breastbone, usually from a fall or impact. It causes pain and swelling at the front of the chest near the throat. Most are managed conservatively.

Symptoms

• Pain and swelling at the base of the throat
• Pain with shoulder and arm movement
• Tenderness over the joint
• A visible bump in some cases

Causes

• A fall onto the shoulder
• A direct blow to the chest
• Sporting collisions

Treatment

• Relative rest and pain management
• Graded shoulder movement
• Strengthening as it settles
• Urgent review for posterior dislocation (rare but serious)