Clavicle Midshaft Fracture with Acromioclavicular Joint Dislocation: A Case Report

Chul-Hyun Cho; Chul-Hyung Kang; Soo-Won Jung; Hyuk-Jun Seo

doi:10.12671/jkfs.2009.22.4.297

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Cho, Kang, Jung, and Seo: Clavicle Midshaft Fracture with Acromioclavicular Joint Dislocation: A Case Report

Case Report

Journal of the Korean Fracture Society 2009; 22(4): 297-299.

Published online: 30 October 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.4.297

Clavicle Midshaft Fracture with Acromioclavicular Joint Dislocation: A Case Report

Chul-Hyun Cho, M.D., Chul-Hyung Kang, M.D., Soo-Won Jung, M.D., Hyuk-Jun Seo, M.D.

Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Soo-Won Jung, M.D. Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University, 194, Dongsan-dong, Joong-gu, Daegu 700-721, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, os@dsmc.or.kr

Received 26 May 2009 Accepted 26 August 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Clavicle, Acromioclavicular joint, Dislocation, Fracture

Figures and Tables

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).

References

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