A Rare Injury of Ipsilateral Mid-Third Clavicle Fracture with Acromioclavicular Joint Dislocation

Psarakis, Spyridon A; Savvidou, Olga D.; Voyaki, Sofia M.; Beltsios, M.; Kouvaras, J.

doi:10.1007/s11552-011-9323-y

Cited by 19 publications

(28 citation statements)

References 15 publications

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“…Previous surgical options such as those employing Steinmann pins,1–3 K-wires,4 cortical screws2 5 6 and clavicular hook plates,7–10 all required implant removal once the coracoclavicular ligament healed. Recently, in two cases, tightrope technology for ACJ stabilisation was employed (emulating the same success seen in cruciate ligament reconstruction in the knee) and was found to produce satisfactory outcomes 11 12…”

Section: Discussionmentioning

confidence: 97%

“…In the early 1990s and 2000s, clavicle fractures were predominantly managed conservatively 1–4 13 14. Only recently has the trend drastically shifted towards open reduction and internal fixation with reconstruction plates5 9 15 or precontoured locking plates 6–8 11 12 16. In our patient, as the stabilisation of the coracoclavicular assembly using a dog bone button by passing fibre tape between the coracoid and the lateral half of the clavicle was contemplated, the mid-shaft fracture (despite being undisplaced) required stabilisation to prevent further displacement.…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, treatment options for acute high-grade ACJ (Rockwood classification: types III, IV, V and VI) injuries are gradually evolving with better understanding of shoulder biomechanics and implant technology; from the era of non-operative management (closed reduction) to varieties of internal fixation such as Steinmann pins,1–3 K-wires,4 cortical screws2 5 6 and clavicular hook plates 7–10. With the advent of arthroscopy, it is now possible to achieve a stable ACJ reduction (by restoring the coracoclavicular relationship) using two new techniques: tightrope,11 12 and recently, dog bone button (Arthrex, USA). This is the first case describing the utility of the latter.…”

Section: Introductionmentioning

confidence: 99%

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A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture

et al. 2015

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A direct blow to the shoulder, as may be sustained in a road traffic accident (RTA), can result in various combinations of fracture dislocations in the shoulder joint complex. Among these, a rare variety is an acromioclavicular joint (ACJ) dislocation coupled with ipsilateral mid-shaft clavicle fracture. Diverse treatment options have been described in the literature, ranging from non-operative and operative, to hybrid management. Treatment for this complex injury is predominantly dictated by the type of dislocation and displacement of the clavicle fracture, as well as age and demand of the patient. Acute high grades of ACJ dislocation require restoration of the coracoclavicular relationship (in place of torn coracoclavicular (CC) ligament) by some form of internal fixation, thereby maintaining the ACJ reduction. An arthroscopic reinstatement of the coracoclavicular relationship using a dog bone button and fibre tape implant for this composite injury pattern has not been previously described. Furthermore, a comprehensive review of the literature associated with this injury pattern is briefly described.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture

et al. 2015

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“…Clavicle fractures combined with AC dislocations are uncommon with sporadic case reports in the literature outlining the acute management of these cases. [ 1 2 3 4 5 6 7 8 ] Guidelines for the management of combined injuries are not well defined. We describe a case of malunion of the clavicle with chronic type IV AC dislocation (Rockwood classification) treated with clavicle osteotomy and AC stabilization surgery.…”

Section: Introductionmentioning

confidence: 99%

Type IV acromioclavicular joint dislocation associated with a mid-shaft clavicle malunion

Mohammed

Stachiw

Malone

2016

Int J Shoulder Surg

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This reports presents the case of a combined clavicle fracture malunion and chronic Type IV acromioclavicular (AC) joint dislocation. The patient was seen acutely in the emergency department following a mountain bike accident at which time the clavicle fracture was identified and managed conservatively however the AC dislocation was not diagnosed. The patient presented 25 months following the injury with persistent pain and disability and was treated with clavicle osteotomy and AC stabilization. We document the clinical details, surgical treatment and outcome.

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“…Rare case reports have been published of AC joint dislocations with ipsilateral mid-shaft clavicle fractures, including a series of four cases with a range of management and good outcomes. [4][5][6][7] We found one case report of a segmental clavicle fracture with sternoclavicular joint disruption. 8 We were unable to find any publications or reports describing the fracture pattern in this case.…”

Section: Introductionmentioning

confidence: 99%

Segmental clavicle fracture and acromio-clavicular joint disruption: an unusual case report

Marjoram

Chakrabarti

2014

Shoulder & Elbow

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Clavicle fractures are common, accounting for 2.6% of all adult fractures. We describe a most unusual segmental fracture pattern of the clavicle with concurrent disruption of acromioclavicular (AC) joint. We were unable to find any publications or reports describing this fracture pattern. During surgery for a medial one-third shaft of clavicle fracture and AC joint dislocation, the medial clavicle was exposed, leading to the discovery (on table) of a previously unidentified additional undisplaced fracture of the medial clavicle cleaving the bone into three distinct fragments. An anatomical plate was successfully applied, fixing both fractures. The AC joint was then reduced with a hook plate. At 8 months, after removal of the hook plate, the patient has an excellent outcome with an Oxford Shoulder Score of 45/48 and a full range of movement without instability of the AC joint. We describe the operative management of this rare fracture pattern. This also highlights that segmental fractures of the clavicle are easily missed. It was successfully treated with a medial anatomic plate and lateral hook plate. We were unable to find any publications or reports describing the fracture pattern in this case.

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A Rare Injury of Ipsilateral Mid-Third Clavicle Fracture with Acromioclavicular Joint Dislocation

Cited by 19 publications

References 15 publications

A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture

A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture

Type IV acromioclavicular joint dislocation associated with a mid-shaft clavicle malunion

Segmental clavicle fracture and acromio-clavicular joint disruption: an unusual case report

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