J Korean Fract Soc.  2009 Oct;22(4):297-299. 10.12671/jkfs.2009.22.4.297.

Clavicle Midshaft Fracture with Acromioclavicular Joint Dislocation: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea. os@dsmc.or.kr

Abstract

Clavicle fracture or acromioclavicular joint dislocation is common injury in the upper extremity. But ipsilateral clavicle midshaft fracture with acromioclavicular joint dislocation is a extremely rare. Seven cases has been reported in the English literature, but it has never been reported in Korea. We report a case of clavicle midshaft fracture with acromioclavicular joint dislocation caused by motor vehicle accident and describe its presumed mechanism, diagnosis, treatment with a review of literature.

Keyword

Clavicle; Acromioclavicular joint; Dislocation; Fracture

MeSH Terms

Acromioclavicular Joint
Clavicle
Dislocations
Korea
Motor Vehicles
Upper Extremity

Figure

  • Fig. 1 55-year-old woman with left clavicle midshaft fracture with ipsilateral acromioclavicular joint dislocation underwent the surgery with reconstruction LCP fixation and coracoclavicular augmentation using Tightrope®. (A) Preoperative radiograph shows clavicle midshaft fracture with Rockwood type V acromioclavicular joint dislocation. (B) Immediate postoperative radiograph shows successful reduction and fixation. (C) Radiograph at 24 months postoperatively shows united clavicle and no significant loss of reduction of acromioclavicular joint.

  • Fig. 2 Intraoperative photograph shows complete substantial tear of coracoclavicular ligament (black arrow).


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