Segmental clavicle fracture with acromioclavicular joint disruption: Report of a rare case

Rao AS, Raju LVSN, Naveen Kumar Banda

Pdf Page Numbers :- 25-28

Rao AS¹, Raju LVSN¹, and Naveen Kumar Banda^1,*

¹Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Banda Naveen Kumar, Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: drnaveen1668@gmail.com

Received 22 October 2019; Revised 10 December 2019; Accepted 18 December 2019; Published 27 December 2019

Citation: Rao AS, Raju LVSN, Banda NK. Segmental clavicle fracture with acromioclavicular joint disruption: Report of a rare case. J Med Sci Res. 2020; 8(1):25-28. DOI: http://dx.doi.org/10.17727/JMSR.2020/8-4

Copyright: © 2020 Rao AS et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Clavicle fractures are common, which accounts for 2.6% of all adult fractures, but the segmental clavicle fracture is an uncommon pattern, with one study showing 0.8% of clavicle fractures to be segmental. We present a rare case of segmental clavicle fracture (middle 1/3rd and lateral end) with acromioclavicular joint (AC-joint) disruption. A lateral clavicular plate was applied fixing both fractures and K-wire for AC-joint disruption. The K-wire was removed after 6 weeks. The patient was followed up at 6 months and one year and outcome was assessed functionally by Oxford Shoulder Score (OSS) and radiologically. The patient had an excellent functional outcome with OSS of 48/48 and full range of motion without instability of AC-joint and good union radiologically. We report good outcome of segmental clavicle fracture with AC-joint disruption treated surgically and discuss relevant literature.

Keywords: Segmental clavicle fracture; acromioclavicular joint; K-wire; disruption