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The Unique Bipolar Clavicle Dislocation: A Novel Reconstruction Technique and Case Report
Ameesh Dev1, Gautham Prabhakar1, Anil Dutta1
1Department of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Case Reports in Orthopedics
|August 28, 2020
Summary
Bipolar clavicle dislocation involves simultaneous sternoclavicular and acromioclavicular joint injuries. A novel surgical technique using the TightRope and allograft successfully treated this rare injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Bipolar clavicle separation is a rare, severe injury involving simultaneous sternoclavicular joint (SCJ) and acromioclavicular joint (ACJ) dislocation.
- High-energy trauma is the typical cause, presenting complex management challenges due to the lack of a standardized treatment protocol.
Observation:
- A unique case of bipolar clavicle dislocation is presented, characterized by an anterior SCJ and posterior ACJ displacement.
- The injury resulted from a high-energy mechanism, necessitating innovative surgical intervention.
Findings:
- A novel surgical approach was employed, utilizing the TightRope technique (Arthrex®) combined with a semitendinosus allograft.
- This technique effectively addressed the complex anterior SCJ and posterior ACJ instability in the presented case.
Implications:
- This case highlights a potentially effective surgical solution for managing rare bipolar clavicle dislocations.
- The described technique may offer a valuable alternative in the orthopedic surgeon's armamentarium for complex clavicle injuries.
