Case Reports in Orthopedics / 2017 / Article / Tab 2 / 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 author Year Sex Age (y) ACJ dislocation SCJ dislocation Timing of surgery Described result Direction/type Treatment Direction Treatment Echo [10 ] 1988 M 20 Inferior/(III) Surgical (modified Phemister) Anterior Conservative Undescribed Functionally good; residual deformity at the SCJ Arenas [20 ] 1993 M 26 Inferior/NA Surgical (K-wire) Anterior Surgical (K-wire) Undescribed Good Le Huec+ [21 ] 1998 M 58 Posterior/III Surgical (K-wire) Anterior Surgical (K-wire) 6 weeks Good Scapinelli [11 ] 2004 F 18 Superior/III Surgical (Weber technique) Anterior Surgical (K-wire) 19 days Good Yurdakul [1 ] 2012 M 21 Superior/III Surgical (compression screw) Anterior Surgical (compression screw) 21 days Functionally good Choo [4 ] 2012 M 48 Superior/V Surgical (hook plate) (Anterior) Surgical (polyester tape) Undescribed Good Jiang [12 ] 2012 F 41 Posterosuperior/NA Surgical (K-wire) Anterior Surgical (T-plate) Undescribed Good Schuh [13 ] 2012 M 23 Posterosuperior/IV Surgical (K- and cerclage wires) Anterior Surgical (cerclage wire) 3 weeks Functionally good Thyagarajan [7 ] 2015 M 51 Superior/III Surgical (polyester mesh) Posterior Surgical (polyester mesh) 3 weeks Good Okano (presenting) 2017 M 45 Superior/III Surgical (modified Cadenat) Anterior Conservative 10 days Functionally good; residual deformity at the SCJ Okano (presenting) 2017 M 36 Superior/III Surgical (hook plate) Posterior Surgical (FiberWire) 0 days (ACJ)/1 day (SCJ) Good Sanders [19 ] 1990 M 26 Undescribed/NA Surgical (ligament transfer) Anterior Conservative 18 months Functionally good Sanders [19 ] 1990 M 35 Undescribed/NA Surgical (ligament transfer) Anterior Conservative 13 months Functionally good Sanders [19 ] 1990 M 20 Undescribed/NA Surgical (ligament transfer) Anterior Conservative 3 months Functionally good Sanders [19 ] 1990 M 41 Posterior/IV Surgical (ligament transfer) Anterior Conservative 12 months Functionally good Argintar [9 ] 2011 M 55 Superior/NA Surgical (claviculectomy) Anterior Surgical (claviculectomy) 2 years Relieve of previous symptoms Schemitsch [22 ] 2011 F 49 Posterior/(IV) Surgical (hook plate) Anterior Surgical (hook plate) 8 months Good Schemitsch [22 ] 2011 F 42 Posterior/(IV) Surgical (hook plate) Anterior Surgical (hook plate) 6 months Good Yin [23 ] 2012 M 39 Posterosuperior/V Surgical (tendon allograft) Posterior Surgical (tendon allograft) 10 weeks Good
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.