The Operative Treatment of Bipolar Clavicular  Dislocation:  A Case Report

Case Report

Volume 2 | Issue 2 | JOCR April – June 2012 | Page 21-23 |Schuh A, Thonse CN, Schmickal T, Kleine L.

The Operative Treatment of Bipolar Clavicular Dislocation: A Case Report

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

 

  Abstract

 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. J Orthopaedic Case Reports 2012 April June;2(2):21-23.Available fromhttp://www.jocr.co.in/wp/wp-content/uploads/2012/06/FINAL-Article-7-page-wise-The-Operative-Treatment-of-Bipolar-Clavicular-Dislocation-A-Case-Report.pdf