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

• Cho CH
• Kang CH
• Jung SW
• Seo HJ

• KMID: 1469999
• DOI: http://doi.org/10.12671/jkfs.2009.22.4.297

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).

Reference

1. Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967; 49:774–784.

2. Heinz WM, Misamore GW. Mid-shaft fracture of the clavicle with grade III acromioclavicular separation. J Shoulder Elbow Surg. 1995; 4:141–142.

3. Juhn MS, Simonian PT. Type VI acromioclavicular separation with middle-third clavicle fracture in an ice hockey player. Clin J Sport Med. 2002; 12:315–317.

4. Lancourt JE. Acromioclavicular dislocation with adjacent clavicular fracture in a horseback rider. A case report. Am J Sports Med. 1990; 18:321–322.

5. Lee DH. Treatment of acromioclavicular joint dislocations: focus on the reduction of acromioclavicular joint. J Korean Fract Soc. 2008; 21:77–80.

6. Lee HJ, Lee JS, Ko YB. Bipolar clavicular dislocation: a case report. J Korean Fract Soc. 2008; 21:316–319.

7. Rockwood CA Jr, Green IP, Buchilz RW, Heckman JD, Court-Brown C. Fractures of the clavicle. Rockwood and Green's Fractures in Adults. 6th ed. Philadelphia: Lippincott Williams & Wilkins;2006. p. 1211–1255.

8. Wade AM, Barrett MO, Crist BD, Della Rocca GJ, Kang SM. Medial clavicular epiphyseal fracture with ipsilateral acromioclavicular dislocation: a case report of panclavicular fracture dislocation. J Orthop Trauma. 2007; 21:418–421.

9. Wurtz LD, Lyons FA, Rockwood CA Jr. 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; 74:133–137.