Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate

  • Koh, Kyoung Hwan (Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Dong Ju (Department of Orthopaedic Surgery, Daegu Fatima Hospital) ;
  • Hwang, Seong Mun (Department of Orthopaedic Surgery, Daegu Fatima Hospital)
  • Received : 2019.07.09
  • Accepted : 2019.08.04
  • Published : 2019.09.01
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Abstract

We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.

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References

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  1. Is Bending the Hook Plate Necessary in Acromioclavicular Joint Dislocation? vol.24, pp.4, 2019, https://doi.org/10.5397/cise.2021.00640