Acromioclavicular dislocation associated with coracoid process fracture is a rare injury. Herein we reported two further cases with such combination of injuries and reviewed all previously published cases in current literature. In this review, we discussed the demographic characteristics, mechanism of injury, diagnosis, and treatment options extensively.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4603310PMC
http://dx.doi.org/10.1155/2015/858969DOI Listing

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[Clavicular fractures : Diagnostics, treatment and management].

Orthopadie (Heidelb)

January 2025

Deutsches Schulterzentrum, Atos Klinik München, Effnerstr. 38, 81925, München, Deutschland.

Fractures of the clavicle (Latin clavicula, little key), which mainly occur in young men, account for 2.6-4% of all fractures in adults [1]. Above the age of 65 years more clavicular fractures occur in women [1].

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Article Synopsis
  • Clavicle fractures are common in emergency departments, while acromioclavicular (AC) joint injuries are rare and even more so when combined with clavicle fractures.
  • A 29-year-old male patient experienced both an AC joint dislocation and a midshaft clavicle fracture, leading to surgical treatment that resulted in excellent recovery and range of motion after one year.
  • The case highlights the rarity of this combination of injuries and stresses the importance of timely diagnosis and investigation to achieve favorable functional outcomes, although there's still no agreement on the best treatment approach.
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In this report, we present a case of a triple clavicle injury, acromioclavicular joint (ACJ) dislocation, a middle third clavicle fracture, and a sternoclavicular joint (SCJ) subluxation, and describe its successful surgical treatment. A 49-year-old female patient sustained a 3 m fall, resulting in direct trauma to her left shoulder. Initial radiographs and computed tomography (CT) scans revealed a displaced middle third clavicle fracture, a high-grade ACJ dislocation, and a posterior SCJ subluxation.

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The present case report is an observational study with a literature review. This case is significant because the injury is rare regarding location and clinical manifestation. A middle-aged male patient sustained a fracture at the acromial end of the clavicle with lateral fragment dislocation after falling from a bicycle.

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Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively.

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