Segmental clavicle fracture with acromioclavicular joint disruption: Report of a rare case

Abstract

Clavicle fractures are common, which accounts for 2.6% of all adult fractures, but the segmental clavicle fracture is an uncommon pattern, with one study showing 0.8% of clavicle fractures to be segmental. We present a rare case of segmental clavicle fracture (middle 1/3rd and lateral end) with acromioclavicular joint (AC-joint) disruption. A lateral clavicular plate was applied fixing both fractures and K-wire for AC-joint disruption. The K-wire was removed after 6 weeks. The patient was followed up at 6 months and one year and outcome was assessed functionally by Oxford Shoulder Score (OSS) and radiologically. The patient had an excellent functional outcome with OSS of 48/48 and full range of motion without instability of AC-joint and good union radiologically. We report good outcome of segmental clavicle fracture with AC-joint disruption treated surgically and discuss relevant literature.

Keywords

• segmental clavicle fracture
• acromioclavicular joint
• k-wire
• disruption