Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate
10.5397/cise.2019.22.3.149
- Author:
Kyoung Hwan KOH
1
;
Dong Ju SHIN
;
Seong Mun HWANG
Author Information
1. Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Acromioclavicular joint;
Hook plate;
Acromial fracture;
Crossbar technique
- MeSH:
Acromioclavicular Joint;
Acromion;
Dislocations;
Ligaments
- From:Journal of the Korean Shoulder and Elbow Society
2019;22(3):149-153
- CountryRepublic of Korea
- Language:English
-
Abstract:
We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.
