Published online Dec 18, 2024. doi: 10.5312/wjo.v15.i12.1208
Revised: October 21, 2024
Accepted: November 8, 2024
Published online: December 18, 2024
Processing time: 179 Days and 23.8 Hours
Clavicle fractures are among the most common fractures seen in the emergency department. While acromioclavicular (AC) joint injuries are much less common. However, ipsilateral combinations of these injuries are quite rare with only a few cases reported in the literature.
A 29-year-old man who sustained a combination of ipsilateral AC joint dislocation and midshaft clavicle fracture. He underwent open reduction and plate fixation of the clavicle fracture, as well as semi-rigid surgical implants used to restore both the AC ligaments and the coracoclavicular joint. one year follow-up revealed that the patient had a complete range of motion and excellent shoulder scores. This case presents a rare presentation of such combination of injuries, contributing valuable insights to the literature on such rare injuries.
Combined midshaft clavicle fractures and AC joint dislocations are considered quite rare. Timely diagnosis of such injuries leads to great functional outcomes. AC joint dislocation should be suspected with midshaft clavicle fractures and should be investigated radiologically and clinically in an appropriate manner. Still, there is no consensus on the optimal management of such injuries.
Core Tip: The combination of ipsilateral acromioclavicular (AC) joint dislocation and midshaft clavicle fracture is uncommon. Only a few cases have been recorded in the literature. We report a case of a 29-year-old man who suffered this injury pattern. He underwent open reduction and plate fixation of the clavicle fracture, as well as semi-rigid surgical implants used to restore both the AC ligaments and the coracoclavicular joint. The patient's clinical findings, imaging results, and surgical procedure are presented, along with relevant images. This case is notable for the combined AC joint dislocation and midshaft clavicle fracture, a finding that contributes to the literature on such rare associated injuries.