Bipolar fracture dislocation of clavicle: A report of osteosynthesis and early soft tissue reconstruction. (2017)

• Record Type: Journal Article
• Authors: Prasetia, Renaldi; Rasyid, Hermawan Nagar
• Is Part Of: International journal of surgery case reports. Volume 41(2017)
• Page Start: 194
• Page End: 199
• Publication Date: 2017
• Subjects: Bipolar dislocation -- Floating clavicle -- Early reconstruction -- Soft tissue reconstruction; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.10.025
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Bipolar fracture-dislocation of the clavicle in concomitant with coracoid fracture are uncommon traumatic injuries. The scarce number of published cases have made the treatment of these injuries still controversial. Osteosynthesis and early soft tissue reconstruction are an option treatment to be considered. Anatomic reconstruction is the key to achieve success and good functional outcome in bipolar fracture- dislocation Re-dislocation of acromioclavicle and sternoclavicle joint, as bipolar clavicle fracture dislocation, can be prevented after achieving the graft's biological healing. Abstract: Introduction: Bipolar dislocation of the clavicle, also called bifocal or pan-articular dislocation or floating clavicle, is an uncommon traumatic injury. The injury of this case is also concomitant with distal third clavicle and coracoid fracture. This article aimed to report the experience of performing osteosynthesis and early soft tissue reconstruction on these injuries. Case report: We reported a case of bipolar clavicle fracture-dislocation in concomitant with coracoid fracture in a man, aged 32 years old, successfully treated 24 days after accident by fixation of both fractures and early simultaneous reconstruction of sternoclavicular- acromioclavicular-coracoclavicular joints. Discussion: These injuries are rare and capable of causing many complications if they are treated improperly. It is compulsory to carefully assess any fractured clavicle along its whole length, both clinically and radiologically. Various options, from non-operative to operative, have been reported to manage such of these cases. Early bony fixation and soft tissue reconstruction can correct the alignment of clavicle and recover the function of sterno-clavicular and acromio-clavicular- joints promptly. Conclusion: Fracture osteosynthesis and early soft tissue reconstruction can be regarded as an option treatment for bipolar fracture-dislocation of the clavicle to facilitate prompt treatment and early rehabilitation.