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Updated: Nov 1, 2025

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Published on: September 16, 2022
Simultaneous Clavicle Fracture and Acromioclavicular Joint Dislocation: Novel Surgical Technique: A Case Report
Cristina López Palacios1, Enrique Sanchez-Munoz1,2, Iván Pipa Muñiz3
1Department of Orthopaedic Surgery and Traumatology, University Hospital of Toledo, Toledo, Spain.
Case:
A 41-year-old man sustained a midshaft clavicle fracture with associated type IV ipsilateral acromioclavicular joint (ACJ) dislocation. The clavicle was fixed with a locking plate and ACJ stabilized with a novel technique: 2 metal anchors with preloaded suture fixed at the coracoid process, looping the sutures over the clavicle, and passing through the plate holes without clavicle bone drilling. Excellent functional outcomes for range of motion, pain, and functional scores persisted 2 and a half years after surgery.
Conclusion:
The described surgical technique achieved exceptional short-term outcomes, sparing clavicle bone stock and allowing an early return to sports.

