Classification of Jaggard et al for Injury to the Sternoclavicular Joint

Description

Jaggard et al reported a new classification scheme for injuries to the sternoclavicular joint. The type of injury can help the clinician select the optimum management strategy. The authors are from Imperial College Healthcare NHS Trust, St. Mary's Hospital and Leeds General Infirmary.

Parameters:

(1) grade of injury

(2) acute vs chronic

(3) anterior vs posterior

(4) traumatic vs atraumatic

Injury	Grade
mild sprain	I
moderate sprain	II
dislocation	III

Grade	Acute or Chronic	Anterior or Posterior	Traumatic or Atraumatic	Type
I or II	NA	NA	NA	I
III	acute	anterior	traumatic	II
III	chronic	anterior	traumatic	III
III	chronic	anterior	atraumatic	IV
III	NA	posterior	NA	V

where:

• The system infers that there is no acute atraumatic anterior dislocation.

Type	Management
I	immobilize and provide physiotherapy
II	reduce early then immobilize
III	reduce early then immobilize and provide physiotherapy; operate if recurrent and symptomatic
IV	reduce early then immobilize and provide physiotherapy; avoid operating
V	reduce early then immobilize and provide physiotherapy; operate if chronic

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Classification of Jaggard et al for Injury to the Sternoclavicular Joint

Description

Specialty