Simultaneous bilateral midshaft clavicle fractures with unilateral dislocation of the acromioclavicular joint: A case report

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Abstract

Rationale:

Simultaneous bilateral mid-clavicle fracture with unilateral dislocation of the acromioclavicular (AC) joint is an extremely rare injury combination.

Patient concerns:

Herein, we report a case of polytrauma in a 42 years old female following a road traffic accident.

Diagnoses:

The radiographs showed the fractures in bilateral middle third of the clavicle and AC joint dislocation of left shoulder.

Interventions:

The patient was treated with a 5-hole locking hook plate to stabilize the left AC joint and a shortly reconstruction plate to fix the left clavicle. Moreover, another 6-hole truncated anatomic reconstruction plate was used to fix the fracture of the right clavicle.

Outcomes:

At the 1-year follow-up, the patient had excellent range of motion and functional outcomes.

Lessons:

It is important to achieve stability and aim for excellence in terms of full shoulder function in this rare combination injury.

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