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Klavikula Orta 1/3 Şaft Kırığı Ve İpsilateral Akromioklavikular Eklem Çıkığı: Olgu Sunumu

Year 2022, Volume: 5 Issue: 3, 232 - 234, 15.10.2022

Abstract

Klavikula kırıkları klasik olarak kırığın bulunduğu yere göre tanımlanır. Klavikula kırıklarının yaklaşık %80'i orta şaft kırıklarıdır. Akromiyoklaviküler eklem yaralanmaları, klavikula kırıkları gibi benzer travma mekanizmalarından kaynaklanır. İpsilateral akromiyoklaviküler eklem çıkığı ile ilişkili klavikula şaft kırığı, nadir görülen bir yaralanma türüdür. Akromiyoklaviküler Rockwood tip 3 eklem yaralanması ve orta şaft klavikula kırığı ile ilgili literatürde sınırlı sayıda vaka bulunmaktadır. Olgumuzda Rockwood sınıflamasına göre sol klavikulada orta üçüncü klavikula kırığı ve ipsilateral tip 3 AC eklem görünümü saptandı. Rockwood tip 3 akromiyoklaviküler yaralanmaların tedavisi tartışmalıdır. Bizim durumumuzda yeterli stabilizasyonu sağladığımız için bir kilitleme plakası ve tek bir Endobutton sabitleme sistemi (Smith & Nephew) seçtik. Sonuç olarak postoperatif altıncı ayda omuz hareket açıklığı tamdı ve şikayeti yoktu.

References

  • 1. Ottomeyer C, Taylor BC, Isaacson M et al. Midshaft clavicle fractures with associated ipsilateral acromioclavicular joint dislocations: Incidence and risk factors. Injury. 2017;48(2):469-473.
  • 2. Burnham JM, Kim DC, Kamineni S. Midshaft Clavicle Fractures: A Critical Review. Orthopedics. 2016;39(5):814-821.
  • 3. Wurtz LD, Lyons FA, Rockwood CA. Fracture of the middle third of the clavicle and dislocation of the acromioclavicular joint: A report of four cases. J Bone Joint Surg Am. 1992;74:133–137.
  • 4. Yeh PC, Miller SR, Cunningham JG et al. Midshaft clavicle fracture and acromioclavicular dislocation: a case report of a rare injury. J Shoulder Elbow Surg. 2009;18(5):1-4.
  • 5. Spyridon AP, Olga DS, Sofia MV et al. A rare injury of ipsilateral mid-third clavicle fracture with acromioclavicular joint dislocation. Hand (N.Y.). 2011; 6(2): 228–232.
  • 6. Hillen RJ, Burger BJ, Poll RG et al. Malunion after midshaft clavicle fractures in adults. Acta Orthop. 2010;81:273–279.
  • 7. Epstein D, Day M, Rokito A. Current concepts in the surgical management of acromioclavicular joint injuries. Bull NYU Hosp Jt Dis. 2012;70:11–24.
  • 8. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35:316–329.
  • 9. Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191–194.
  • 10. Solooki S, Azad A. Smimultaneous middle third clavicle fracture and type 3 acromioclavicular joint dislocation; a case report. Arch Bone Jt Surg. 2014;2(1):69-71.

MIDSHAFT CLAVICLE FRACTURE AND IPSILATERAL DISLOCATİON OF THE ACROMIOCLAVICULAR JOINT: A CASE REPORT

Year 2022, Volume: 5 Issue: 3, 232 - 234, 15.10.2022

Abstract

Clavicle fractures are classically defined according to the location of the fracture. Approximately 80% of clavicle fractures are midshaft fractures. Acromioclavicular joint injuries are caused by similar trauma mechanisms such as clavicle fractures. The clavicle shaft fracture associated with the ipsilateral acromioclavicular joint dislocation is a rare type of injury. There are a limited number of cases in the literature of acromioclavicular Rockwood type 3 joint injury and midshaft clavicle fracture. Our case revealed that the left clavicle had a middle third clavicle fracture and an ipsilateral type 3 AC joint appearance according to the Rockwood classification. Management of Rockwood type 3 acromioclavicular injuries is controversial. We have chosen a locking plate and a single Endobutton fixation system (Smith & Nephew) because we provide sufficient stabilization in our case. As a result, in the sixth month postoperatively, the shoulder range of motions was full, and had no complaints.

References

  • 1. Ottomeyer C, Taylor BC, Isaacson M et al. Midshaft clavicle fractures with associated ipsilateral acromioclavicular joint dislocations: Incidence and risk factors. Injury. 2017;48(2):469-473.
  • 2. Burnham JM, Kim DC, Kamineni S. Midshaft Clavicle Fractures: A Critical Review. Orthopedics. 2016;39(5):814-821.
  • 3. Wurtz LD, Lyons FA, Rockwood CA. Fracture of the middle third of the clavicle and dislocation of the acromioclavicular joint: A report of four cases. J Bone Joint Surg Am. 1992;74:133–137.
  • 4. Yeh PC, Miller SR, Cunningham JG et al. Midshaft clavicle fracture and acromioclavicular dislocation: a case report of a rare injury. J Shoulder Elbow Surg. 2009;18(5):1-4.
  • 5. Spyridon AP, Olga DS, Sofia MV et al. A rare injury of ipsilateral mid-third clavicle fracture with acromioclavicular joint dislocation. Hand (N.Y.). 2011; 6(2): 228–232.
  • 6. Hillen RJ, Burger BJ, Poll RG et al. Malunion after midshaft clavicle fractures in adults. Acta Orthop. 2010;81:273–279.
  • 7. Epstein D, Day M, Rokito A. Current concepts in the surgical management of acromioclavicular joint injuries. Bull NYU Hosp Jt Dis. 2012;70:11–24.
  • 8. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35:316–329.
  • 9. Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191–194.
  • 10. Solooki S, Azad A. Smimultaneous middle third clavicle fracture and type 3 acromioclavicular joint dislocation; a case report. Arch Bone Jt Surg. 2014;2(1):69-71.
There are 10 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Olgu Sunumu
Authors

Bahadır Balkanlı 0000-0003-4501-9090

Cem Copuroglu 0000-0002-3884-3711

Murat Erem 0000-0002-9743-5515

Publication Date October 15, 2022
Submission Date March 20, 2022
Acceptance Date May 19, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

AMA Balkanlı B, Copuroglu C, Erem M. MIDSHAFT CLAVICLE FRACTURE AND IPSILATERAL DISLOCATİON OF THE ACROMIOCLAVICULAR JOINT: A CASE REPORT. Acta Med Nicomedia. October 2022;5(3):232-234.

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