Evaluation and treatment of sternoclavicular, clavicular, and acromioclavicular injuries

Prim Care. 2013 Dec;40(4):911-23, viii-ix. doi: 10.1016/j.pop.2013.08.008. Epub 2013 Sep 26.


Injuries to the clavicle and associated structures may involve fractures of the clavicle or injuries to the surrounding joints, usually from a blow to the shoulder. They present with variable signs and symptoms, requiring a thorough history and physical examination. Diagnosis typically involves plain radiographs but more advanced imaging may be required, especially in the case of sternoclavicular joint dislocations. Often, nonoperative management is indicated but, occasionally, surgical intervention is required. Due to the high incidence of clavicle injuries, it is paramount that the primary care physician be able to recognize, diagnose, and manage these injuries.

Keywords: Acromioclavicular joint; Clavicle; Dislocation; Fracture; Separation; Sternoclavicular joint.

Publication types

  • Review

MeSH terms

  • Acromioclavicular Joint / diagnostic imaging
  • Acromioclavicular Joint / injuries
  • Clavicle / diagnostic imaging
  • Clavicle / injuries*
  • Humans
  • Joint Dislocations / diagnosis
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / therapy
  • Physical Examination
  • Radiography
  • Sternoclavicular Joint / diagnostic imaging
  • Sternoclavicular Joint / injuries*