The Journal of Bone and Joint Surgery, Vol 72, Issue 3 399-402, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc
Management of dislocations of both ends of the clavicle
JO Sanders, FA Lyons and CA Rockwood
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7774.
We treated six patients who had a dislocation of both ends of the clavicle
(an anterior dislocation of the sternoclavicular joint and a posterior
dislocation of the acromioclavicular joint). Two patients who had fewer
demands on the shoulder--an elderly woman and a woman who had had an
ipsilateral amputation of the hand--did well; they had only minor symptoms
after non-operative management. The other four patients (all men) had
continuing pain at the acromioclavicular joint; each had a reconstruction
of the joint, which resulted in a painless, full range of motion and return
to normal activity. No patient had continuing pain in the sternoclavicular
joint.