Relationship of the Medial Clavicular Head to the Manubrium in Normal and Symptomatic Degenerated...
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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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/1.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/2.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/3.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/4.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/5.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/6.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/7.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/8.jpg)
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.](https://reader036.fdocuments.us/reader036/viewer/2022083005/56649f165503460f94c2b841/html5/thumbnails/9.jpg)
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.