sapho

Sternoclavicular joint

EpidemiologySCJ Anterior DIslocation

 

Extremely uncommon

Stability provided by joint capsule /costoclavicular & interclavicular ligaments 

 

Recurrent instability uncommon

 

Many apparent dislocations in adolescents may be growth plate injuries 

-will remodel without treatment

 

If OA from chronic dislocation may resect SCJ

 

SAPHO

Definition

 

Clinical syndrome characterised by

 

Synovitis

Acne

Pustulosis

Hyperostosis

Osteitis

 

Aetiology

 

Unknown

- high prevalence of HLA B-27 antigen

- similarities to seronegative spondyloarthropathy 

 

Four types