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Surgical management of bipolar clavicular dislocation
A J Arenas1, T Pampliega, J Iglesias
1Department of Orthopaedic Surgery, Hospital Reina Sofia, Tudela, Navarra, Spain.
Acta Orthopaedica Belgica
|January 1, 1993
Summary
Bipolar clavicle dislocation, a rare injury, was successfully treated in a 26-year-old man using surgical repair. The treatment involved fixation of both the acromioclavicular and sternoclavicular joints, achieving excellent functional and cosmetic outcomes.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Anatomy
Background:
- Bipolar dislocation of the clavicle involves simultaneous injury to both the acromioclavicular (AC) and sternoclavicular (SC) joints.
- This is a rare and complex injury pattern requiring specific surgical considerations.
Observation:
- A 26-year-old male patient presented with a right bipolar clavicle dislocation.
- The injury involved significant disruption of both the AC and SC joints.
Findings:
- The patient underwent open reduction and internal fixation with Kirschner wires for the AC joint.
- Orthopedic reduction and percutaneous osteosynthesis with Kirschner wires were performed for the SC joint.
- Excellent functional and cosmetic results were achieved post-operatively.
Implications:
- This case highlights a successful surgical management strategy for bipolar clavicle dislocations.
- The combined approach addresses the instability at both ends of the clavicle.
- Further discussion on treatment nuances and literature review provides insights for managing similar complex clavicular injuries.