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Distal Clavicle Physeal Separation Mimicking an Acromioclavicular Joint Separation: A Case Report
Andrea S Aebischer1, Harminder Sarai2, Christopher J Wall1
1Department of Orthopaedics, Toowoomba Hospital, Queensland, Australia.
Case:
A 9-year-old boy sustained a right distal clavicle physeal separation with superior and posterior displacement through the periosteum. He was treated surgically with open reduction, Kirschner wire fixation, and periosteal repair and had an excellent outcome.
Conclusion:
Distal clavicle fractures are rare in children, and acromioclavicular joint (ACJ) separations are exceedingly rare. Differentiating between the 2 is often difficult radiographically and clinically. Our case represents a Type IV distal clavicle fracture but could be confused with an ACJ separation. Surgical treatment was successful.
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