Acromioclavicular Dislocation Associated with Coracoid Process Fracture: Report of Two Cases and Review of the Literature

Köse, Özkan; Canbora, Kerem; Güler, Ferhat; Kılıçaslan, Ömer Faruk; May, Hasan

doi:10.1155/2015/858969

Cited by 19 publications

(34 citation statements)

References 26 publications

(41 reference statements)

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“…Although non-anatomical incomplete union of CP was evidenced, the patient returned to work and regained deltoid strength in ten weeks with no pain. This is similar to one of the two cases reported in the work by Kose et al [ 3 ].…”

Section: Discussionsupporting

confidence: 92%

“…But when combined with AC joint injury, disturbance of the superior shoulder suspensory complex is evident at two levels. Different techniques including both conservative and surgical treatment; guided mainly by the degree of AC injury; are described [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…trans -Articular wires had been described by many authors to manage combined AC dislocation and CP fracture [ 3 ], This technique carries the risk of hardware migration, breakage and need for removal [ 8 ], A more stable fixation using hook plate for AC stability alone [ 3 ] or in combination with CP fixation using cannulated screws also was described [ 9 ], but again this technique had high complication rates including shoulder pain and discomfort that is only relieved after plate removal [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…It occurs most commonly due to direct impact on the shoulder especially in sports activities and road traffic injuries [ 2 ]. The association of coracoid process (CP) fracture to such an injury is rare and only case reports had been published regarding this situation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Biplanar fixation of acromio-clavicular joint dislocation associated with coracoid process fracture: Case report

Metwaly

Edres

2018

Trauma Case Reports

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IntroductionAcromioclavicular (AC) joint injury associated with coracoid process (CP) fracture is a rare injury and only case reports had been published in the literature. Although AC joint injury is not uncommon, there is controversy as regard the best stabilization method whether to use wires, hook plate, arthroscopic reconstruction or the recently described techniques of anatomic restoration of both the coracoclavicular (CC) and acromioclavicular (AC) ligaments to add stability in both the vertical as well as the horizontal plane for the AC joint. Isolated CP fracture rarely necessitates surgical intervention; but in association with AC joint injury; a controversy as regard best management, surgical approach, technique of stabilization and implant used is present due to paucity of literature.Patient and methodA 36 years old manual worker who sustained a combined injury of AC joint (grade III) and CP comminuted base fracture had been treated surgically in our hospital using a biplanar fixation technique; blind 4 mm cannulated screw for the CP fracture and anatomic reconstruction of the AC ligament using FibreTape (Arthrex, Naples, FL); to add stability in both the vertical and horizontal plane. Follow up was done for one year.ResultsAfter completion of rehabilitation program, patient could return to work with no shoulder pain in ten weeks postoperatively. Till the last follow up there was no evidence of loss of reduction or shoulder pain with a Constant score of 86.ConclusionOur technique in combined AC joint and CP fracture, address both injuries to add biplanar AC joint stability allowing accelerated rehabilitation and avoids metal hardware complications.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biplanar fixation of acromio-clavicular joint dislocation associated with coracoid process fracture: Case report

Metwaly

Edres

2018

Trauma Case Reports

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“…Des réparations d'une seule, ou des deux lésions ont été décrites. Malgré cela, environ la moitié des cas a été prise en charge conservativement, et l'évolution est généralement bonne à excellente 14 .…”

Section: Discussionunclassified

74-year-old man with a complex acromio-clavicular disjunction

Cabanas¹,

Jennart²,

Leclercq³

et al. 2018

Rev Med Brux

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Acromioclavicular dislocation is a frequent pathology commonly encountered in traumatology. Therefore, its management is generally standardized, guided by clinical and radiological evaluation. This can range from conservative treatment by limb immobilization and functional rehabilitation, to surgical treatment by using minimally invasive techniques. We present the particular case of a 74-year-old patient with an acromioclavicular dislocation associated with a non-displaced fracture of the coracoid process as well as of the spine of the scapula. This article aims to describe the diagnostic traps as well as discuss the treatment options for this complex presentation.

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