Korkoman AJ, Alhamodi A, Alrusayni S, Almalki MM. Ipsilateral Rockwood type V acromioclavicular joint dislocation and midshaft clavicle fracture: A case report. World J Orthop 2024; 15(12): 1208-1213 [DOI: 10.5312/wjo.v15.i12.1208]
Corresponding Author of This Article
Abdulrahman Jalwi Korkoman, MBBS, Teaching Assistant, Department of Orthopedic Surgery, University of Bisha, Alnakeel Neighborhood, Bisha 67714, Saudi Arabia. aj.mk8@hotmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Dec 18, 2024; 15(12): 1208-1213 Published online Dec 18, 2024. doi: 10.5312/wjo.v15.i12.1208
Ipsilateral Rockwood type V acromioclavicular joint dislocation and midshaft clavicle fracture: A case report
Abdulrahman Jalwi Korkoman, Abdullah Alhamodi, Saleh Alrusayni, Mohammed Musaed Almalki
Abdulrahman Jalwi Korkoman, Department of Orthopedic Surgery, University of Bisha, Bisha 67714, Saudi Arabia
Abdullah Alhamodi, Saleh Alrusayni, Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh 61415, Saudi Arabia
Mohammed Musaed Almalki, Department of Orthopedic Surgery, King Saud Medical City, Riyadh 00966, Saudi Arabia
Author contributions: Korkoman AJ, Alhamodi A, Almalki MM, and Alrusayni S contributed equally to this work; Korkoman AJ, Alhamodi A, and Alrusayni S designed the research study; Korkoman AJ and Almalki MM performed the research; Almalki MM contributed new reagents and analytic tools; Korkoman AJ and Alhamodi A analyzed the data and wrote the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: The patient’s informed consent was obtained.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdulrahman Jalwi Korkoman, MBBS, Teaching Assistant, Department of Orthopedic Surgery, University of Bisha, Alnakeel Neighborhood, Bisha 67714, Saudi Arabia. aj.mk8@hotmail.com
Received: June 20, 2024 Revised: October 21, 2024 Accepted: November 8, 2024 Published online: December 18, 2024 Processing time: 179 Days and 23.8 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
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.
