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Impact of Osteopathic Manipulative Treatment on Improving Function and Restoring Quality of Life After Sternoclavicular Joint Resection

Journal: The AAO Journal Date: 2025/09, 35(3):Pages: 6-7. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/3/article-p6.xml)

Keywords:

case report [702]
female [581]
OMT [3730]
osteomyelitis [2]
osteopathic manipulative treatment [3750]
post-operative care [70]
quality of life [106]
shoulder [124]
sternoclavicular joint [1]
women [537]

Abstract:

Introduction/Background: The only true articulation between the upper extremity and the axial skeleton is the Sternoclavicular (SC) joint. Without it, muscles and fascia would be solely responsible for stabilization of the shoulder, leading to altered biomechanics. In this case, a 50-year-old female had osteomyelitis of the right SC joint requiring resection. The use of Osteopathic Manipulative Treatment (OMT), in conjunction with physical therapy (PT), improved function and restored quality of life. Case: 50-year-old female with osteomyelitis of the right medial clavicle status post SC joint resection presented to clinic for osteopathic evaluation of chronic chest wall pain. Despite five months of PT, dry needling, and chiropractic treatment, she could not perform activities of daily living (ADLs) or participate in sport without pain. Her most significant somatic dysfunctions were the T3 and T4 vertebrae, anterior thoracic tender points 3–5 on the right, and myofascial restriction of the right chest wall. She received eight Osteopathic treatments over the course of a year utilizing facilitated positional release, balanced ligamentous tension, myofascial release, and muscle energy. Results: Following treatment, she had increased thoracic spine mobility and reduced myofascial tension of the chest wall. This allowed her to perform ADLs and return to playing golf, tennis, and kayaking without pain. Discussion: This patient’s SC joint resection caused altered mechanics and increased muscular load on the shoulder girdle leading to significant dysfunction and pain. In turn, this caused her to be fearful of participating in sports that she loved. Addressing these dysfunctions with OMT significantly improved her pain and quality of life. This unique case highlights the importance of treating the SC joint when addressing thoracic and rib dysfunction using the biomechanical model.


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