Acromioclavicular joint injury (type IV)

Case contributed by A.Prof Frank Gaillard


Push bike accident. Presents with a sore left shoulder.

Patient Data

Age: 25 years
Gender: Female

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.


Followup post operative x-ray

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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Case information

rID: 18083
Case created: 6th Jun 2012
Last edited: 18th Mar 2018
Inclusion in quiz mode: Included

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