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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;Shin, Dong Ju;Hwang, Seong Mun

  • Received : 2019.07.09
  • Accepted : 2019.08.04
  • Published : 2019.09.01

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.

Keywords

Acromioclavicular joint;Hook plate;Acromial fracture;Crossbar technique

References

  1. Sim E, Schwarz N, Hocker K, Berzlanovich A. Repair of complete acromioclavicular separations using the acromioclavicular- hook plate. Clin Orthop Relat Res. 1995;(314):134-42.
  2. De Baets T, Truijen J, Driesen R, Pittevils T. The treatment of acromioclavicular joint dislocation Tossy grade III with a clavicle hook plate. Acta Orthop Belg. 2004;70(6):515-9.
  3. Ejam S, Lind T, Falkenberg B. Surgical treatment of acute and chronic acromioclavicular dislocation Tossy type III and V using the Hook plate. Acta Orthop Belg. 2008;74(4):441-5.
  4. Eschler A, Gradl G, Gierer P, Mittlmeier T, Beck M. Hook plate fixation for acromioclavicular joint separations restores coracoclavicular distance more accurately than PDS augmentation, however presents with a high rate of acromial osteolysis. Arch Orthop Trauma Surg. 2012;132(1):33-9. doi: 10.1007/s00402-011-1399-x. https://doi.org/10.1007/s00402-011-1399-x
  5. Gstettner C, Tauber M, Hitzl W, Resch H. Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2008;17(2):220-5. doi: 10.1016/j.jse.2007.07.017. https://doi.org/10.1016/j.jse.2007.07.017
  6. Kienast B, Thietje R, Queitsch C, Gille J, Schulz AP, Meiners J. Mid-term results after operative treatment of rockwood grade III-V acromioclavicular joint dislocations with an AC-hookplate. Eur J Med Res. 2011;16(2):52-6. doi: 10.1186/2047-783x-16-2-52. https://doi.org/10.1186/2047-783X-16-2-52
  7. Choi JY, Kim E, Jeong HJ, et al. Clinical comparison of two types of hook plate in surgical treatment of acromioclavicular dislocation: AO hook plate and Wolter plate. Clin Shoulder Elbow. 2012;15(2):123-9. doi: 10.5397/CiSE.2012.15.2.123. https://doi.org/10.5397/CiSE.2012.15.2.123
  8. ElMaraghy AW, Devereaux MW, Ravichandiran K, Agur AM. Subacromial morphometric assessment of the clavicle hook plate. Injury. 2010;41(6):613-9. doi: 10.1016/j.injury.2009.12.012. https://doi.org/10.1016/j.injury.2009.12.012
  9. Hoffler CE, Karas SG. Transacromial erosion of a locked subacromial hook plate: case report and review of literature. J Shoulder Elbow Surg. 2010;19(3):e12-5. doi: 10.1016/j.jse.2009.10.019.
  10. Chiang CL, Yang SW, Tsai MY, Kuen-Huang Chen C. Acromion osteolysis and fracture after hook plate fixation for acromioclavicular joint dislocation: a case report. J Shoulder Elbow Surg. 2010;19(4):e13-5. doi: 10.1016/j.jse.2009.12.005.