The combination of ipsilateral acromioclavicular joint dislocation and midshaft clavicle fracture is rare. In the last 30 years, only 29 cases have been reported in literature. We present a case of a 55-year-old woman with this combined injury pattern on the right side after a fall from a bicycle. She underwent open reduction and plate fixation of the clavicle fracture and repair of both the acromioclavicular ligaments and the coracoclavicular joint with semi-rigid surgical implants. Six months of follow-up showed satisfactory results with full range of motion. In addition, we provide an overview of the literature regarding this rare injury pattern with treatment options and functional outcomes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426522PMC
http://dx.doi.org/10.1016/j.xrrt.2022.11.007DOI Listing

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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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