Simultaneous bilateral midshaft clavicle fractures with unilateral dislocation of the acromioclavicular joint

RATIONALE Simultaneous bilateral mid-clavicle fracture with unilateral dislocation of the acromioclavicular (AC) joint is an extremely rare injury combination. PATIENT CONCERNS Herein, we report a case of polytrauma in a 42 years old female following a road traffic accident. DIAGNOSES The radiographs showed the fractures in bilateral middle third of the clavicle and AC joint dislocation of left shoulder. INTERVENTIONS The patient was treated with a 5-hole locking hook plate to stabilize the left AC joint and a shortly reconstruction plate to fix the left clavicle. Moreover, another 6-hole truncated anatomic reconstruction plate was used to fix the fracture of the right clavicle. OUTCOMES At the 1-year follow-up, the patient had excellent range of motion and functional outcomes. LESSONS It is important to achieve stability and aim for excellence in terms of full shoulder function in this rare combination injury.