Advanced SearchSearch Tips
Spontaneous Healing of Acromial Stress Fracture Caused by Clavicle Hook Plate in Acromioclavicular Joint Dislocation - A Case Report
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Clinics in Shoulder and Elbow
  • Volume 17, Issue 1,  2014, pp.36-39
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/cise.2014.17.1.36
 Title & Authors
Spontaneous Healing of Acromial Stress Fracture Caused by Clavicle Hook Plate in Acromioclavicular Joint Dislocation - A Case Report
Kim, Gang-Un; Kim, Seong-Hwan; Lee, Jae-Sung; Kim, Jae Yoon;
  PDF(new window)
Clavicular hook plate is known to be an effective treatment on acromioclavicular (AC) joint injury, but there have been some reports of complications, like osteolysis and bony erosion of the undersurface of acromion. Fifty-five year old male underwent open reduction and hook plate insertion on Rockwood type 5 acromioclavicular joint dislocation. He complained of protrusion of posterior acromion at 1 month after the surgery, and acromial fracture was noted in simple radiographs. The hook plate was removed and any other treatment for osteosynthesis was refused by the patient. At the 18 months after the surgery, the patient had no pain and a full range of motion with no tenderness around the shoulder joint. After two years, plain radiographs revealed complete bony union of the acromion fracture.
Acromioclavicular dislocation;Hook plate;Acromial fracture;
 Cited by
Rolf O, Hann von Weyhern A, Ewers A, Boehm TD, Gohlke F. Acromioclavicular dislocation Rockwood III-V: results of early versus delayed surgical treatment. Arch Orthop Trauma Surg. 2008;128(10):1153-7. crossref(new window)

Chandrasenan J, Badhe S, Cresswell T, De Beer J. The clavicular hook plate: Consequences in three cases. Eur J Trauma Emerg Surg. 2007;33(5):557-9. crossref(new window)

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.

Johansen JA, Grutter PW, McFarland EG, Petersen SA. Acromioclavicular joint injuries: indications for treatment and treatment options. J Shoulder Elbow Surg. 2011;20 2 Suppl:S70-82. crossref(new window)

Press J, Zuckerman JD, Gallagher M, Cuomo F. Treatment of grade III acromioclavicular separations. Operative versus nonoperative management. Bull Hosp Jt Dis. 1997;56(2):77-83.

Haidar SG, Krishnan KM, Deshmukh SC. Hook plate fixation for type II fractures of the lateral end of the clavicle. J Shoulder Elbow Surg. 2006;15(4):419-23. crossref(new window)

ElMaraghy AW, Devereaux MW, Ravichandiran K, Agur AM. Subacromial morphometric assessment of the clavicle hook plate. Injury. 2010;41(6):613-9. crossref(new window)

Vahakari M, Leppilahti J, Hyvonen P, Ristiniemi J, Paivansalo M, Jalovaara P. Acromial shape in asymptomatic subjects: a study of 305 shoulders in different age groups. Acta Radiol. 2010;51(2):202-6. crossref(new window)