Acromioclavicular joint dislocation
Case contributed by:
Dr Frank Gaillard
Presentation:
Bush bike accident. Sore left shoulder.
Patient Data:
Age: 25 years
Gender: Female
Race: Caucasian
From the case:
Acromioclavicular joint dislocation
Modality:
X-ray
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Dislocation of the left acromioclavicular joint, with the clavicle displaced superiorly and widening of the coracoclavicular space (25 mm), consistent with coracoclavicular ligament injury/rupture. This is a grade V injury. Grossly enlocated glenohumeral joint. No fractures detected.
There has been internal fixation of the left acromioclavicular joint with a hook-plate. The joint is in satisfactory alignment.
Case Discussion:
This case illustrates disruption of the acromioclavicular joint with dislocation, requiring open reduction and internal fixation (ORIF).
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