Journal of Innovative Clinical Trials and Case Reports
Open Access • Peer Reviewed • Bi-Monthly
Ipsilateral Acute ACJ Dislocation Following Prior Mid-Shaft Clavicle Plating: A Case Man aged with a Minimally Invasive Tight Rope Technique
Abstract
Introduction: Acute acromioclavicular joint (ACJ) dislocation occurring years after a healed, plated midshaft clavicle fracture is extremely rare, and limited evidence guides management. Pre-existing hardware introduces unique biomechanical and technical considerations during coracoclavicular (CC) reconstruction.
Case Presentation: A 32-year-old male sustained an isolated Rockwood V ACJ dislocation four years after mid-shaft clavicle plating. Because a distal plate hole aligned favourably with the coracoid, a minimally invasive TightRope suture-button construct was passed through the existing plate to restore CC stability.
Conclusion: Acute ACJ dislocation following prior clavicle plating can be effectively managed using a Tight Rope construct through the existing plate, avoiding implant removal and enabling early mobilisation.
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© 2025 The Author(s). Published by WM Journals.
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