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

• Koh KH
• Shin DJ
• Hwang SM

• KMID: 2457212
• DOI: http://doi.org/10.5397/cise.2019.22.3.149

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