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Simultaneous bilateral midshaft clavicle fractures with unilateral dislocation of the acromioclavicular joint: A case
Dong Dong1, Mingyang Yu, Guishan Gu
1Department of Radiology, First Hospital, Jilin University, Changchun, Jilin Department of Joint Surgery, Affiliated Zhongshan hospital, Dalian University, Dalian, Liaoning Department of Joint Surgery, First Hospital, Jilin University, Changchun, Jilin, China.
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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01:24Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History: