SC Separation | SC Joint Pain | Shoulder Sepcialist

SC Separation Overview

The sternoclavicular (SC) joint is located where the collarbone attaches to the breastbone. These bones are held tightly together by ligaments and other fibrous tissue that surround the joint. While sternoclavicular joint separation injuries are somewhat uncommon, sporting events and other traumatic events such as falls, car accidents and other activities that cause blunt force to the chest or collarbone could lead to an SC separation causing SC joint pain.

Injuries to the SC joint are relatively uncommon, accounting for less than 5% of shoulder injuries. The SC joint is generally a very stable joint due to its very strong supporting ligaments. However, a sternoclavicular joint separation can occur when the ligaments that hold the SC joint together tear.

An SC separation injury can range from a mild separated shoulder to a complete tear. Many physicians range the injuries on a Grade I-III scale:

Grade I: A simple sprain which involves an incomplete tear or stretching of the sternoclavicular and costoclavicular ligaments.
Grade II: A partial tear of the costoclavicular ligament and a complete tear of the sternoclavicular ligament.
Grade III: A complete tear of the sternoclavicular and costoclavicular ligaments.

SC Separation Symptoms

The most common symptoms associated with this injury are pain, tenderness, swelling and limited movement. The collarbone may also appear displaced.

Have you sustained an SC joint separation?

There are two ways to initiate a consultation with Dr. Millett:

You can provide current X-rays and/or MRIs for a clinical case review ($250).

You can schedule an office consultation with Dr. Millett.

Request Case Review or Office Consultation

SC Separation Diagnosis

A sternoclavicular joint separation can be identified via an X-ray, CT scan or an MRI. These tests will determine the extent of the injury and how much damage has been done to the ligaments. Dr. Millett will also gently feel the bones and soft tissues in the injured area, evaluate the range of motion and perform tests to locate specific areas of SC joint pain and weakness.

SC Separation Treatment

For mild SC separations, conservative treatment such as ice, anti-inflammatory medication, immobilization via a sling and a distinct period of rest will help treat the injury. More severe cases may require surgery involving a reconstruction of the ligament or a stabilization technique to secure and tighten the ligaments. Without the proper treatment, the shoulder could continue to subluxate in the future and ongoing sternoclavicular joint instability could occur. Rehabilitation is also important so that the shoulder joint can regain strength, motion and mobility.

For additional information on an SC separation, or to learn more about treatment options for this shoulder injury, please contact the office of Dr. Peter Millett.

Peter Millett, MD

Average rating:

37 reviews

Jenn West

Jul 2, 2021

by Jenn West on Peter Millett, MD

Saved My Life

I went to Dr. Millett after 7 knee surgeries (6 on my right and 1 on my left) and had seen 11 different surgeons who all refused to remove femur metal from my right leg. I am highly allergic to metal and the chronic pain was leaving me bedridden for 3.5wks out of a month. He personally wrote me back on my inquiry, listened to my concerns, scheduled my surgery within a week (due to insurance issues) and personally followed up with my recovery. The level of patient care from Dr. Millett and his ENTIRE team is above any care I have ever received in my 20 years of dealing with orthopedic surgeons. There are not enough words to describe the level of care, dedication and professionalism you receive from Dr. Millett and his staff.
My only disappointment is that I did not find him sooner!!!

David Kozak

Feb 26, 2021

by David Kozak on Peter Millett, MD

getting back on the rock

After 40 plus years of rock climbing and mountaineering behind me I had worn out a shoulder. Not wanting to give up my passion for high places, I researched and learned that Dr. Millett is a talented and exceptional surgeon, someone who I could trust to get me back on the rock. I made the absolute right decision.

My shoulder replacement is a huge success. Dr. Millett and his team were amazing every step of the way. From my initial consultation to my final check-off, post-op visit, I was given the very best of care. Three months out from surgery I'm ready to start climbing and mountain biking once again.

I had sent Dr. Millett a text thanking him for his tremendous skill on my behalf. His response to me was that it was a team effort. His self effacing demeanor is truly admirable, and speaks volumes about the respect that he gives to his patients and to his team.

I know that when I climb or mountain bike in the future, I will think of Dr. Millett and his team. Thank you so much for helping me to get back on the rock.

James McCullough

Jul 2, 2019

by James McCullough on Peter Millett, MD

Life saver

I rely on my life-long habit of fly fishing for psychological support. Dr. Millett reconstructed my casting shoulder a year ago. I now have tremendous, pain-free flexibility and strength after a failed surgery in Michigan. He's remarkable, and has truly saved an essential activity for me.

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