ISSN Number - pISSN 2250 – 0685 | eISSN 2321-3817

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The Operative Treatment of Bipolar Clavicular Dislocation: A Case Report

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The Operative Treatment of Bipolar Clavicular Dislocation: A Case Report

Authors: Alexander Schuh ,Chirag Narayana Thonse ,Thomas Schmickal,Ludwig Kleine
Musculoskeletal Center, Neumarkt Hospital, 92318 Neumarkt, Germany, Indian Orthopaedic Research Group
Address of Correspondence:
Prof. Dr. Alexander SchuhHead of Musculoskeletal Center,Neumarkt Hospital,Teaching Hospital of the University of Erlangen- Nurenberg Nürnberger Str. 12, 92318 Neumarkt i.d. Opf, GermanyTel: +49-9181-420-3500Email: Alexander.Schuh@klinikum.neumarkt.de
Article Received : 2012-04-05,
Article Accepted : 2012-04-10

Introduction: Simultaneous bipolar dislocation of the clavicle is uncommon and unusual, although it has been documented as panclavicular dislocation, floating clavicle, and complete dislocation of the clavicle. A review of the recent literature indicated that most bipolar clavicular dislocations have been treated non-operatively.

Case Report: We report the case of a 23 year polytrauma patient with bipolar dislocation of the right clavicle. Patient presented to us 2 weeks post injury and had an unstable corao-clavicular joint. On radiographic assessment a simultaneous dislocation of the coraco-clavicular and sterno-clavicular joints of right side was diagnosed. In view of the unstable condition of the right clavicle, young age of the patient, requirement of high physical activity a decision for operative treatment for clavicle dislocation was taken. Patient was treated surgically with open reduction and tension band wiring with good result.

Conclusion: Although bipolar dislocation of the clavicle are rare a high index of suspicion will avoid missed diagnosis. Open reduction and internal fixation is a good option in young patients and gives good short term result.

Keywords: Bipolar clavicle dislocation, open reduction, Tension band wiring.

How to Cite This Article: Schuh A, Thonse CN, Schmickal T, Kleine L. The Operative Treatment of Bipolar Clavicular Dislocation: A Case Report. Journal of Orthopaedic Case Reports 2012 April, 2(04): 21-23.