Bipolar injury of the clavicle: A case report

Abstract

Introduction: Bipolar dislocation of the clavicle is an uncommon injury that is a simultaneous dislocation of the ipsilateral acromioclavicular joint and sternoclavicular joint. This injury is rare with fewer than fifty documented cases. Case report: We have reported the case of a forty-three-year-old bike trauma with posterior dislocation of the acromioclavicular joint and fracture of the medial part of the clavicle. Considering the young age of the patient and his requirement for high physical activity, we opted for the operative treatment. First, the patient was operated on with open reduction and stabilization of the acromioclavicular joint with 2 k. wires. So, thanks to conservative treatment at the medial fractures we had a good result. Conclusion: In light of current evidence, no important advice can be made about the treatment of bipolar clavicle fractures. We assume that the restoration of the anatomy of the acromioclavicular and sternoclavicular joints should be the aim of the treatment for this rare injury. Nevertheless, the treatment of a bipolar clavicle injury depends on different factors: injury pattern, age of the patient, daily activities, and comorbidity.