Dual plate fixation for combined mid-clavicle fracture and acromioclavicular joint injury: a case report

Islam M. Alsayed; Marya W. Alhammadi; Biju P. Aliyarukunju; Ahsan Butt

doi:10.18203/issn.2455-4510.IntJResOrthop20251816

Authors

Islam M. Alsayed Department of Orthopaedic Surgery, King Hamad University Hospital, Bahrain https://orcid.org/0000-0001-8098-0704
Marya W. Alhammadi Department of Anesthesia, King Hamad University Hospital, Bahrain
Biju P. Aliyarukunju Department of Orthopaedic Surgery, Phoenix Hospital, Abudhabi, UAE
Ahsan Butt Department of Orthopaedic Surgery, King Hamad University Hospital, Bahrain

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251816

Keywords:

Acromioclavicular joint, Sternoclavicular joint, Mid-clavicle fracture, AC joint injury, Fixation methods, Dual plate fixation, Surgical intervention

Abstract

This case report presents a rare injury involving a combined mid-clavicle fracture and acromioclavicular (AC) joint injury. While conservative management is typically recommended for Rockwood's grade I and II AC joint injuries, surgical intervention is commonly advised for grade IV, V, and VI injuries. However, there is limited literature addressing the management of mid-clavicle fractures in conjunction with ipsilateral AC joint injuries.

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References

Neer CS. Fractures of the distal third of the clavicle. Clin Orthop Relat Res. 1968;58:43–50. DOI: https://doi.org/10.1097/00003086-196805000-00007

Tossy JD, Mead NC, Sigmond HM. Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res. 1963;28:111–9. DOI: https://doi.org/10.1097/00003086-196300280-00012

Urist MR. Complete dislocation of the acromioclavicular joint. J Bone Joint Surg Am. 1963;45:1750–3. DOI: https://doi.org/10.2106/00004623-196345080-00024

Psarakis SA, Savvidou OD, Voyaki SM, Beltsios M, Kouvaras JN. A rare injury of ipsilateral mid-third clavicle fracture with acromioclavicular joint dislocation. Hand. 2011;6(2):228-32. DOI: https://doi.org/10.1007/s11552-011-9323-y

Heinz WM, Misamore GW. Mid-shaft fracture of the clavicle with grade III acromioclavicular separation. J Shoulder Elbow Surg. 1995;4:141–2. DOI: https://doi.org/10.1016/S1058-2746(05)80069-2

Madi S, Pandey V, Khanna V, Acharya K. A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture. Case Reports. 2015;23:5213254. DOI: https://doi.org/10.1136/bcr-2015-213254

Gao Z, Cai P, Yao K, Long N, Liu L, Xiao C. Mid-clavicle fracture with dislocation of the ipsilateral acromioclavicular joint treated with Endobutton system: a case report and review of the literature. Medicine 2021;100:47. DOI: https://doi.org/10.1097/MD.0000000000027894

Paryavi E, Christian MW, Pensy RA, Eglseder WA. Floating clavicular injury: treatment of combined midshaft fracture and acromioclavicular separation with a dual plating technique. Curr Orthop Pract. 2013;24:349–52. DOI: https://doi.org/10.1097/BCO.0b013e31828cb190