The ISAKOS subclassification of Rockwood type III AC joint dislocations in a stable type A and an unstable type B is not clinically relevant.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 18. World J Orthop. 2024 Dec 18;15(12):1208-1213. doi: 10.5312/wjo.v15.i12.1208. eCollection 2024 Dec 18. Ipsilateral Rockwood type V acromioclavicular joint dislocation and midshaft clavicle fracture: A case report. Korkoman AJ(1), Alhamodi A(2), Alrusayni S(2), Almalki MM(3). Author information: (1)Department of Orthopedic Surgery, University of Bisha, Bisha 67714, Saudi Arabia. aj.mk8@hotmail.com. (2)Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh 61415, Saudi Arabia. (3)Department of Orthopedic Surgery, King Saud Medical City, Riyadh 00966, Saudi Arabia. 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. ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. DOI: 10.5312/wjo.v15.i12.1208 PMCID: PMC11686529