Case Report

Bipolar Dislocation of the Clavicle: A Report of Two Cases with Different Injury Patterns and a Literature Review

Table 2

Summary of reported patients who underwent surgical treatment (above the line: acute presentation, below the line: delayed presentation).

First authorYearSexAge (y)ACJ dislocationSCJ dislocationTiming of surgeryDescribed result
Direction/typeTreatmentDirectionTreatment

Echo [10]1988M20Inferior/(III)Surgical (modified Phemister)AnteriorConservativeUndescribedFunctionally good; residual deformity at the SCJ
Arenas [20]1993M26Inferior/NASurgical (K-wire)AnteriorSurgical (K-wire)UndescribedGood
Le Huec+ [21]1998M58Posterior/IIISurgical (K-wire)AnteriorSurgical (K-wire)6 weeksGood
Scapinelli [11]2004F18Superior/IIISurgical (Weber technique)AnteriorSurgical (K-wire)19 daysGood
Yurdakul [1]2012M21Superior/IIISurgical (compression screw)AnteriorSurgical (compression screw)21 daysFunctionally good
Choo [4]2012M48Superior/VSurgical (hook plate)(Anterior)Surgical (polyester tape)UndescribedGood
Jiang [12]2012F41Posterosuperior/NASurgical (K-wire)AnteriorSurgical (T-plate)UndescribedGood
Schuh [13]2012M23Posterosuperior/IVSurgical (K- and cerclage wires)AnteriorSurgical (cerclage wire)3 weeksFunctionally good
Thyagarajan [7]2015M51Superior/IIISurgical (polyester mesh)PosteriorSurgical (polyester mesh)3 weeksGood
Okano (presenting)2017M45Superior/IIISurgical (modified Cadenat)AnteriorConservative10 daysFunctionally good; residual deformity at the SCJ
Okano (presenting)2017M36Superior/IIISurgical (hook plate)PosteriorSurgical (FiberWire)0 days (ACJ)/1 day (SCJ)Good

Sanders [19]1990M26Undescribed/NASurgical (ligament transfer)AnteriorConservative18 monthsFunctionally good
Sanders [19]1990M35Undescribed/NASurgical (ligament transfer)AnteriorConservative13 monthsFunctionally good
Sanders [19]1990M20Undescribed/NASurgical (ligament transfer)AnteriorConservative3 monthsFunctionally good
Sanders [19]1990M41Posterior/IVSurgical (ligament transfer)AnteriorConservative12 monthsFunctionally good
Argintar [9]2011M55Superior/NASurgical (claviculectomy)AnteriorSurgical (claviculectomy)2 yearsRelieve of previous symptoms
Schemitsch [22]2011F49Posterior/(IV)Surgical (hook plate)AnteriorSurgical (hook plate)8 monthsGood
Schemitsch [22]2011F42Posterior/(IV)Surgical (hook plate)AnteriorSurgical (hook plate)6 monthsGood
Yin [23]2012M39Posterosuperior/VSurgical (tendon allograft)PosteriorSurgical (tendon allograft)10 weeksGood

NA: not applicable; K-wire: Kirschner wire; parentheses in the “direction/type” column mean that the author(s) did not mention the result directly, but it could be interpreted using the description and/or figures in the articles; +the authors reported two patients, one of whom was excluded because he/she had a fracture; the authors stated that type IV was the most common type of dislocation among their six patients.