The X-ray sternoclavicular posteroanterior (PA)oblique positioning manoeuvres the joint of interest away from central structures to produce a clearer view of articulation. It is often requested in the context of significant trauma that can result in sternoclavicular joint dislocation or medial end clavicular fractures. Furthermore, this projection can be requested when following up on already known sternoclavicular injuries in the setting of outpatient appointments.