Clin Should Elbow.  2019 Sep;22(3):149-153. 10.5397/cise.2019.22.3.149.

Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate

Affiliations
  • 1Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea. aabga@hanmail.net

Abstract

We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.

Keyword

Acromioclavicular joint; Hook plate; Acromial fracture; Crossbar technique

MeSH Terms

Acromioclavicular Joint*
Acromion
Dislocations*
Ligaments
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