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Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens Valcke, Iwein Piepers, Thomas Verschueren, and Lieven De Wilde J Bone Joint Surg Am Volume 96(13):e109 July 2, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

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Page 1: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated

Sternoclavicular Joints

by Alexander Van Tongel, Jens Valcke, Iwein Piepers, Thomas Verschueren, and Lieven De Wilde

J Bone Joint Surg AmVolume 96(13):e109

July 2, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Axial, sagittal, and frontal CT views of symptomatic degenerative sternoclavicular arthritis.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Determination of the best-fitting plane based on a consistent triangular area in the manubrium.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Determination of the axial plane.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Determination of points A, S, P, and I on the medial clavicular head.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Measurement of the distance between point A and the frontal plane.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Measurement of the distance between point S and the axial plane.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Graph showing the AFr/AP ratios in all patients.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated Sternoclavicular Joints by Alexander Van Tongel, Jens

Graph showing the SAx/SI ratios in all patients.

Alexander Van Tongel et al. J Bone Joint Surg Am 2014;96:e109

©2014 by The Journal of Bone and Joint Surgery, Inc.