Simultaneous bilateral midshaft clavicle fractures with unilateral dislocation of the acromioclavicular joint: A case report. Issue 21 (May 2017)

• Record Type: Journal Article
• Authors: Dong, Dong; Yu, Mingyang; Gu, Guishan
• Other Names: Guillén-Astete. Carlos section editor.
• Is Part Of: Medicine. Volume 96:Issue 21(2017)
• Publication Date: 2017-05
• Subjects: dislocation of the acromioclavicular joint -- mid-clavicle fracture -- open reduction internal fixation; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000006975
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Simultaneous bilateral mid-clavicle fracture with unilateral dislocation of the acromioclavicular (AC) joint is an extremely rare injury combination. Patient concerns: Herein, we report a case of polytrauma in a 42 years old female following a road traffic accident. Diagnoses: The radiographs showed the fractures in bilateral middle third of the clavicle and AC joint dislocation of left shoulder. Interventions: The patient was treated with a 5-hole locking hook plate to stabilize the left AC joint and a shortly reconstruction plate to fix the left clavicle. Moreover, another 6-hole truncated anatomic reconstruction plate was used to fix the fracture of the right clavicle. Outcomes: At the 1-year follow-up, the patient had excellent range of motion and functional outcomes. Lessons: It is important to achieve stability and aim for excellence in terms of full shoulder function in this rare combination injury.