Panclavicular Dislocation: A Case Report
10.4055/jkoa.1988.23.5.1425
- Author:
In Ju LEE
;
Nam Yong CHOI
;
Hee Dai LEE
;
Nam Gee LEE
- Publication Type:Case Report
- Keywords:
Clavicle;
Dislocation
- MeSH:
Clavicle;
Dislocations;
Fascia Lata;
Ligaments;
Ribs;
Shoulder;
Thoracic Injuries
- From:The Journal of the Korean Orthopaedic Association
1988;23(5):1425-1428
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dislocation of both ends of a clavicle in a 49-yesr-old man during an auto-accident is presented. The medial end of the right clavicle was severely displaced antero-inferiorly while the 1ateral end displaced posteriorly. And the clavicle was rotated along its long axis. Sever al attempts of manual and a surgical reduction through separate incision on both ends of the clavicle failed to have anatomical reduction. It was presumed that the cause of failure in reduction were delayed reduction due to combined chest injury, blockade by first rib that was broken and was anteriorly displaced as well as the complexity of the dislocation. It is speculsted that anatomic reduction in this rare injury require wider surgical exposure. Though authors failed to have anatomic reduction in present case, stabilization of the medial end of the clavicle with a strip of fascia lata after medial clavicular resection and ligament repair at the lateral end resulted in satisfactory regain of shoulder motion and cosmetic improvement.
