Simultaneous of Mid Third Clavicle Fracture and Type 3 Acromioclavicular Joint Dislocation; A Case Report

Document Type : CASE REPORT

Authors

Shiraz Medical School, Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

 
Simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with reconstruction plate after open reduction and plate contouring; and acromioclavicular joint dislocation was reduced and fixed with two full threaded cancellous screws. One screw was inserted through the plate to the coracoid process. Clinical and radiographic finding revealed complete union of clavicle fracture and anatomical reduction of acromioclavicular joint with pain free full joint range of motion one year after operation.

Keywords

References

  1. Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19(7):504-7.

  2. Wellmann M, Smith T. Epidemiology, anatomy, biomechanics and imaging of acromioclavicular joint injuries. Unfallchirurg. 2012;115(10):867-71.

  3. Heinz WM, Misamore GW. Mid-shaft fracture of the clavicle with grade III acromioclavicular separation. J Shoulder Elbow Surg. 1995;4:141–2.

  4. Williams GR, Nguyen VD, Rockwood CR. Classification and radiographic analysis of acromioclavicular dislocations. ApplRadiol. 1989; 12:29-34.

  5. Lancourt JE. Acromioclavicular dislocation with adjacent clavicular fracture in a horseback rider. Am J Sports Med. 1990; 18(3):321–2.

  6. Wisniewski TF. Posterior acromioclavicular dislocation with clavicular fracture and trapezius entrapment. Eur J Trauma. 2004; 30(2):120–3.

  7. Wurtz LD, Lyons FA, Rockwood CA. Fracture of the middle third of the clavicle and dislocation of the acromioclavicular joint. A report of four cases. J Bone Joint Surg Am. 1992; 74:133–7.

  8. Yeh PC, Miller SR, Cunningham JG, Sethi PM. Midshaft clavicle fracture and acromioclavicular dislocation: a case report of a rare injury. J Shoulder Elbow Surg. 2009;18(5):1–4.

  9. Psarakis SA, Savvidou OD, Voyaki SM, Beltsios M, Kouvaras JN. A rare injury of ipsilateral mid-third clavicle fracture with acromioclavicular joint dislocation. Hand (N Y). 2011; 6(2): 228–32.

  10. Woolf SK, Valentine BJ, Barfield WR, Hartsock LA. Middle-third clavicle fracture with associated type IV acromioclavicular separation: case report and literature review. J Surg Orthop Adv. 2013;22:183-6.

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History

  • Receive Date: 01 January 2014
  • Revise Date: 02 February 2014
  • Accept Date: 16 February 2014

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