Acromioclavicular joint injury - type V

Case contributed by Frank Gaillard
Diagnosis certain


Sore left shoulder post push bike accident.

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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