López Palacios C, Sanchez-Munoz E, Pipa Muñiz I, Rodríguez García N, Maestro Fernández A. Simultaneous Clavicle Fracture and Acromioclavicular Joint Dislocation: Novel Surgical Technique: A Case Report.
JBJS Case Connect 2021;
11:01709767-202106000-00129. [PMID:
34161305 DOI:
10.2106/jbjs.cc.20.00775]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE
A 41-year-old man sustained a midshaft clavicle fracture with associated type IV ipsilateral acromioclavicular joint (ACJ) dislocation. The clavicle was fixed with a locking plate and ACJ stabilized with a novel technique: 2 metal anchors with preloaded suture fixed at the coracoid process, looping the sutures over the clavicle, and passing through the plate holes without clavicle bone drilling. Excellent functional outcomes for range of motion, pain, and functional scores persisted 2 and a half years after surgery.
CONCLUSION
The described surgical technique achieved exceptional short-term outcomes, sparing clavicle bone stock and allowing an early return to sports.
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