Meignanaguru M, Dhakshinamurthi Y, Srinivasan D, Shetty GR. Mid-shaft Clavicle Fracture with Disguised Ipsilateral Type IV Acromioclavicular Joint Dislocation - A Rare Case Report.
J Orthop Case Rep 2024;
14:19-23. [PMID:
39253665 PMCID:
PMC11381080 DOI:
10.13107/jocr.2024.v14.i09.4714]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2024] [Revised: 07/16/2024] [Indexed: 09/11/2024] Open
Abstract
Introduction
Clavicle fractures and acromioclavicular (AC) joint disruptions are very common injuries. However, both injuries occurring simultaneously are very rare entities.
Case Report
In this article, we report a case of 21-year-old gentleman with a history of road traffic accident with a right mid-shaft clavicle fracture. We planned for the right clavicle plating. Intraoperatively incidentally, we found that the patient is having type 4 rockwood AC joint disruption with complete posterior displacement and gross instability. We repaired it after plating the clavicle using Ethibond with intraosseous sutures and augmented with trans acromion k wire. Later, k wire was removed, and the patient regained full range of motion shoulder after subsequent follow-up and physiotherapy.
Conclusion
Clavicle fractures with ipsilateral AC joint disruptions are very rare. Diagnosing the AC joint disruption and appropriate management is very essential to regain the shoulder function and outcome.
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