Name of the Procedure:

Radiologic Examination of the Sternoclavicular Joint or Joints (Minimum of 3 Views)

Summary

This is a specialized x-ray procedure used to visualize the sternoclavicular (SC) joint, which connects the breastbone (sternum) to the collarbone (clavicle). Typically, at least three different views of the joint are taken to get a comprehensive assessment.

Purpose

The radiologic examination of the SC joint is primarily performed to diagnose conditions such as arthritis, dislocations, fractures, infections, or other abnormalities in the joint. The goal is to identify the underlying cause of symptoms and guide treatment.

Indications

• Persistent pain or swelling in the area of the SC joint
• Suspected dislocation or injury to the SC joint
• Symptoms of arthritis in the SC joint
• Unexplained stiffness or limited range of motion
• Post-traumatic evaluation to assess damage

Preparation

• Patients are generally advised to remove any jewelry or metal objects in the area being examined.
• No specific fasting or medication adjustments are typically required.
• A medical history and physical examination may be conducted beforehand.

Procedure Description

1. The patient is positioned appropriately for the x-rays, which may involve standing, sitting, or lying down, depending on the views required.
2. At least three different angles of the SC joint will be captured using an x-ray machine.
3. The radiologic technologist may ask the patient to hold their breath briefly to avoid movement during the x-ray.
4. The images are typically reviewed by a radiologist who will interpret the results.

Duration

The procedure typically takes about 15 to 30 minutes, including positioning and actual image capturing.

Setting

The procedure is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologic Technologist: Conducts the x-ray procedure.
• Radiologist: Interprets the x-ray images.
• Referring Physician: Orders the procedure and discusses the results with the patient.

Risks and Complications

• Exposure to a small amount of radiation.
• Rare risks include an allergic reaction to contrast dye if used, though typically no contrast is required for this procedure.
• Potential discomfort from holding certain positions.

Benefits

• Non-invasive method to accurately diagnose conditions affecting the SC joint.
• Can guide appropriate treatment plans.
• Helps to avoid more invasive diagnostic procedures.

Recovery

• No significant recovery time required.
• Patients can generally resume normal activities immediately after the procedure.
• Follow-up appointments may be scheduled to discuss the results and any necessary treatment.

Alternatives

• MRI or CT scans for more detailed imaging if x-rays are inconclusive.
• Ultrasound for soft tissue evaluation.
• Physical therapy or pain management strategies as initial alternatives to imaging, depending on symptoms.

Patient Experience

During the procedure, the patient may feel some discomfort from remaining still or from the positioning of the affected area. Pain management is generally not needed, and the procedure is well-tolerated. After the procedure, patients can resume their normal activities without any restrictions.