Sternoclavicular Sleuthing: Imaging & Treatment Tactics
A Glenohumeral Gurus Podcast with Dr Angela Cadogan.
A FREE Podcast with Dr Angela Cadogan and Dr Margie Olds via Glenohumeral Gurus
In this follow-up episode of Glenohumeral Gurus, host Dr Margie Olds welcomes back Dr Angela Cadogan to delve deeper into the imaging and treatment options for sternoclavicular (SC) joint issues. Dr Cadogan, a registered specialist physiotherapist from New Zealand, shares her expertise on the complexities of diagnosing and managing SC joint problems.
Key Takeaways
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Imaging Challenges: X-rays and ultrasounds have limited utility for SC joint assessment. CT scans are preferred for evaluating traumatic injuries and dislocations, while MRI is used for soft tissue and mediastinal structure examination.
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Treatment Approaches: Management strategies vary based on whether the joint is stiff (e.g., osteoarthritis) or unstable. Treatment may include pain management, postural correction, and addressing muscle imbalances.
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Multifaceted Assessment: Dr Cadogan emphasizes the importance of considering cervical spine posture, muscle length (particularly sternocleidomastoid), and scapular function when assessing SC joint issues.
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Symptom Modification: Using a systematic approach to identify which interventions (e.g., chin retraction, thoracic extension) provide the most significant symptom relief can guide treatment priorities.
This episode offers invaluable insights for physiotherapists and clinicians dealing with SC joint pathologies.
Dr Cadogan's practical advice on assessment techniques, imaging considerations, and treatment strategies provides listeners with a comprehensive approach to managing these complex cases.
Whether you're an experienced practitioner or a new clinician, this episode promises to enhance your understanding of SC joint management and equip you with new tools to improve patient outcomes.
Tune in for an enlightening discussion that could transform your approach to treating sternoclavicular joint issues!
A FREE Podcast with Dr Angela Cadogan and Dr Margie Olds via Glenohumeral Gurus
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Instructor
Dr Angela Cadogan
Dip Phys, M.Sports Physio, Dip MT, PhD
Physiotherapy Specialist (Musculoskeletal).
Physiotherapy Specialist (Musculoskeletal).
Angela is a NZ registered Physiotherapy Specialist (Musculoskeletal) with a Ph.D in Musculoskeletal Diagnostics from AUT University, Auckland, New Zealand (2012) (shoulder sub-specialty). Based in Christchurch, she works as a clinical consultant in her own private practice specialising in the diagnosis and management of shoulder pain.
Angela also works in an Orthopaedic Triage and Assessment role (Shoulder Service) with the Canterbury District Health Board. Angela has an ongoing research interest in shoulder conditions, has many publications on the topic, has been an invited keynote speaker at many national and international shoulder conferences and is Associate Editor at JOSPT (Journal of Orthopaedic and Sports Physical Therapy).
Angela has been teaching courses on the diagnosis, management and rehabilitation of shoulder conditions for over 10 years and is passionate about upskilling other physiotherapists and improving capability of the physiotherapy workforce to meet the needs of the changing healthcare system. Angela is the director of Physio Academy. Learn more: www.drangelacadogan.co.nz