Surgical management of a midshaft clavicle fracture with ipsilateral acromioclavicular dislocation: A report on 2 cases and review of the literature

Wijdicks, Coen A.; Anavian, Jack; Ly, Thuan V.; Spiridonov, Stanislav I.; Craig, Matthew R.; Cole, Peter A.

doi:10.1016/j.injury.2012.09.007

Cited by 5 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treatment options for ACJ dislocation are guided by the Rockwood classification: for Type I and Type II, opt for conservative treatment; treatment of Type III dislocations is controversial; and surgical management is recommended for Type IV, Type V, and Type VI. The 26 patients reported in the literature included 1 case of Type II, [9] which was treated conservatively; 6 cases of type III, [14,16,19,23,30] 13 cases of type IV, [8][9][10][11]17,18,[20][21][22]24] 1 case of type V, [7] and 4 cases of type VI [12,15,31,32] were treated with surgery. In these patients with rigid fixation, the fixative was removed after approximately 8 weeks to 8 months.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical treatment of this shoulder injury has been described in the literature. The treatment of clavicular fractures is divided into nonsurgical treatment, plates, and intramedullary nailing, while the options for ACJ dislocation are elastic fixation (TightRope fixation system, [7,8] dog bone button, [9] reconstruction with tendon allograft, [10] or preloaded suture fixation [11] ) and rigid fixation (Kirschner wires, [12][13][14][15] clavicular hook plate, [16][17][18][19][20] and screw fixation [21][22][23] ) or a combination of both. [24] However, there is still a lack of consensus about the most appropriate way to treat this shoulder injury.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mid-clavicle fracture with dislocation of the ipsilateral acromioclavicular joint treated with Endobutton system

Gao¹,

Cai²,

Yao³

et al. 2021

Medicine

View full text Add to dashboard Cite

Rationale: Acromioclavicular joint (ACJ) dislocation combined with ipsilateral midclavicular fracture is extremely unusual and is a high-energy injury to the shoulder. A review of the literature divides the treatment of clavicular fractures is divided into nonsurgical treatment, plates, and intramedullary nailing, while the options for ACJ dislocation are elastic fixation and rigid fixation. However, there is still a lack of consensus about the most appropriate way to treat this shoulder injury. This case report involves a mid-clavicle fracture with dislocation of the ipsilateral ACJ, which was classified as type V according to Rockwood classification.Patient concerns: A 65-year-old man came to the emergency department after a traffic accident in which he was driving a motorcycle that collided with another motorcycle and his right shoulder collided directly with the ground. Digital radiography (DR) and computed tomography (CT) scans of the right shoulder joint showed mid-clavicle fracture with dislocation of the ipsilateral ACJ, which was classified as type V according to Rockwood classification.Diagnoses: The diagnosis of mid-clavicle fracture with dislocation of the ipsilateral ACJ was confirmed by DR and CT. Interventions:The patient was treated with a clavicle plate combined with the double Endobutton technique.Outcomes: After a 6-month follow up, the patient had excellent results for shoulder range of motion and functional. The patient's Constant-Murley score is 92.Lessons: Mid-clavicular fracture with a high-energy injury is highly suspicious and requires perfect shoulder CT or bilateral shoulder stress position DR to confirm whether there is a combined ACJ dislocation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mid-clavicle fracture with dislocation of the ipsilateral acromioclavicular joint treated with Endobutton system

Gao¹,

Cai²,

Yao³

et al. 2021

Medicine

View full text Add to dashboard Cite

show abstract

“…Mid-shaft clavicle fracture and acromioclavicular (AC) joint dislocation are very common injuries 17 . While concurrent injuries to both mid-shaft clavicle fracture and AC joint dislocation seem to be rare, most of the literatures 1-3, 5-10, 12-16, 18-22 are case reports.…”

Section: Introductionmentioning

confidence: 99%

Ipsilateral midshaft clavicle fracture and acromioclavicular joint dislocation: a review of literature and evidence-based diagnosis guidelines

Ao¹,

Jian-cun²,

Chen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Ipsilateral midshaft clavicle fracture and AC joint dislocation are rare, with very few cases reported. Once the AC joint dislocation were missed diagnosis, the shoulder function may be affected and medical dispute was easy to occur. The aim of this study was to gather data relating to ipsilateral midshaft clavicle fracture and AC joint dislocation to develop evidence-based diagnosis guidelines as none are currently available.Methods: A study was conducted of the PubMed and Google Scholar databases to identify cases of ipsilateral midshaft clavicle fracture and AC joint dislocation. Data collected about each case included age and gender of the patient, mechanism of injury, fracture and dislocation classification. The authors report 2 additional ipsilateral midshaft clavicle fracture and AC joint dislocation cases.Results: 21 cases were identified for inclusion in this research, 19 from the literature and 2 reported by the authors. All the patients were injured by high energy trauma. For the midshaft fracture, 16/21 (76.2%) patients belonged to Type A classification, and 5/21 (23.8%) patients belonged to Type B classification. For AC joint dislocation, 11/21 (47.6%) patients belonged to Type IV classification, 4/21 (19.0%) patients belonged to Type VI classification, 5/21 (23.8%) patients belonged to Type III classification and 1/21 (4.7%) patients belonged to Type V classification.Conclusions: There are limited data available about the diagnosis of ipsilateral midshaft clavicle fracture and AC joint dislocation. From the cases reviewed, we find that simple midshaft clavicle caused by high energy injuries may be associated with ipsilateral AC joint dislocation. Physical examination, careful observation of preoperative X-ray and fluoroscopy including the AC joint during operation were key to diagnose the injury. Level of Evidence Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

show abstract

Ipsilateral Rockwood type IV acromioclavicular joint dislocation and midshaft clavicle fracture: a case report and review of the literature

Voort

Doesburg

Leijnen

2023

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

Surgical management of a midshaft clavicle fracture with ipsilateral acromioclavicular dislocation: A report on 2 cases and review of the literature

Cited by 5 publications

References 28 publications

Mid-clavicle fracture with dislocation of the ipsilateral acromioclavicular joint treated with Endobutton system

Mid-clavicle fracture with dislocation of the ipsilateral acromioclavicular joint treated with Endobutton system

Ipsilateral midshaft clavicle fracture and acromioclavicular joint dislocation: a review of literature and evidence-based diagnosis guidelines

Ipsilateral Rockwood type IV acromioclavicular joint dislocation and midshaft clavicle fracture: a case report and review of the literature

Contact Info

Product

Resources

About