From the Research
Sternoclavicular joint subluxation should be treated conservatively, with closed reduction under sedation for acute cases, followed by immobilization and pain management, as surgical stabilization is associated with a high incidence of serious complications, as noted in the study by 1.
Treatment Approach
The treatment approach for sternoclavicular joint subluxation typically involves:
- Closed reduction under sedation for acute cases
- Immobilization with a figure-of-eight bandage or sling for 4-6 weeks
- Pain management with NSAIDs, such as ibuprofen (400-600mg three times daily) or naproxen (500mg twice daily)
- Ice application for 15-20 minutes every 2-3 hours during the first 48-72 hours
Physical Therapy and Recovery
Physical therapy should begin after the immobilization period, focusing on:
- Range of motion exercises
- Gradual strengthening Recovery typically takes 6-12 weeks, with most patients regaining full function, though some may experience persistent instability or discomfort with certain movements.
Complications and Precautions
Complications can include damage to nearby vascular structures, particularly with posterior dislocations, as highlighted in the study by 2. Patients should avoid heavy lifting and contact sports during the recovery period to prevent recurrence.
Surgical Intervention
Surgical intervention, including ligament reconstruction or joint stabilization procedures, may be necessary for chronic or recurrent subluxations, but should be considered with caution due to the high incidence of serious complications associated with surgical stabilization, as noted in the study by 1.