Sternoclavicular joint pathology can be an uncommon cause of
pain and discomfort around the neck and shoulder region. Typically, patients localize their
pain deep to the joint and experience
referred pain to the ipsilateral neck and shoulder; however, it often presents as a diffuse nonspecific
pain. Given the paucity of this pathology and atypical presentation, the use of
injections can be helpful to confirm the diagnosis of sternoclavicular
arthropathy. Currently, most
injections are done via computed tomography. Although this method is accurate, it exposes patients to radiation and burdens the patient with the requirement of multiple appointments. This case series outlines the use of ultrasound-guided sternoclavicular joint
injections conducted in the clinic. The patients in this series underwent an ultrasound-guided injection in the affected sternoclavicular joint, which confirmed the diagnosis, and they were subsequently treated with resection
arthroplasty. The use of ultrasound-guided
injections of the sternoclavicular joint is a safe and accurate alternative diagnostic method, which saves the patient from harmful radiation and additional appointments. Limitations and efficacy may vary depending on skill and comfort level of the operator.