Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right-sided chest wall and shoulder pain following direct trauma to the medial clavicle. Reports localized swelling, tenderness, and mechanical discomfort with shoulder protraction or elevation. No associated dyspnea, dysphagia, or neurovascular deficits reported.
Clinical Examination Findings
Inspection reveals a visible prominence or depression at the right sternoclavicular (SC) joint. Palpation demonstrates significant tenderness over the SC joint, with crepitus or instability noted upon passive shoulder movement. Neurovascular status of the right upper extremity is intact with palpable radial pulse and normal capillary refill.
Treatment Protocol
Initial management includes immobilization with a sling or figure-of-eight brace for comfort. Analgesia provided via NSAIDs. If anterior dislocation is confirmed, conservative management is indicated. If posterior dislocation is suspected, urgent orthopedic consultation is required to rule out mediastinal structure compromise.