Bahadır BALKANLI, Cem COPUROGLU, Murat EREM

Klavikula Orta 1/3 Şaft Kırığı Ve İpsilateral Akromioklavikular Eklem Çıkığı: Olgu Sunumu

Klavikula kırıkları klasik olarak kırığın bulunduğu yere göre tanımlanır. Klavikula kırıklarının yaklaşık %80'i orta şaft kırıklarıdır. Akromiyoklaviküler eklem yaralanmaları, klavikula kırıkları gibi benzer travma mekanizmalarından kaynaklanır. İpsilateral akromiyoklaviküler eklem çıkığı ile ilişkili klavikula şaft kırığı, nadir görülen bir yaralanma türüdür. Akromiyoklaviküler Rockwood tip 3 eklem yaralanması ve orta şaft klavikula kırığı ile ilgili literatürde sınırlı sayıda vaka bulunmaktadır. Olgumuzda Rockwood sınıflamasına göre sol klavikulada orta üçüncü klavikula kırığı ve ipsilateral tip 3 AC eklem görünümü saptandı. Rockwood tip 3 akromiyoklaviküler yaralanmaların tedavisi tartışmalıdır. Bizim durumumuzda yeterli stabilizasyonu sağladığımız için bir kilitleme plakası ve tek bir Endobutton sabitleme sistemi (Smith & Nephew) seçtik. Sonuç olarak postoperatif altıncı ayda omuz hareket açıklığı tamdı ve şikayeti yoktu.

Anahtar Kelimeler:

akromioklaviküler eklem çıkığı, klavikula kırığı, ipsilateral, orta 1/3 cisim kırığı, cerrahi tedavi

MIDSHAFT CLAVICLE FRACTURE AND IPSILATERAL DISLOCATİON OF THE ACROMIOCLAVICULAR JOINT: A CASE REPORT

Clavicle fractures are classically defined according to the location of the fracture. Approximately 80% of clavicle fractures are midshaft fractures. Acromioclavicular joint injuries are caused by similar trauma mechanisms such as clavicle fractures. The clavicle shaft fracture associated with the ipsilateral acromioclavicular joint dislocation is a rare type of injury. There are a limited number of cases in the literature of acromioclavicular Rockwood type 3 joint injury and midshaft clavicle fracture. Our case revealed that the left clavicle had a middle third clavicle fracture and an ipsilateral type 3 AC joint appearance according to the Rockwood classification. Management of Rockwood type 3 acromioclavicular injuries is controversial. We have chosen a locking plate and a single Endobutton fixation system (Smith & Nephew) because we provide sufficient stabilization in our case. As a result, in the sixth month postoperatively, the shoulder range of motions was full, and had no complaints.

Keywords:

acromioclavicular joint dislocation, clavicle fractures, ipsilateral, midshaft, surgical treatment,

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