Subacromial Distal Clavicle Dislocation with Associated Scapular Spine Fracture: A Case Report Article Swipe
Jake A. Fox
,
Reagan L Mead
,
M. Wharton Young
,
S.C. Lee
,
Lance E. LeClere
,
Peter S. Chang
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.13107/jocr.2025.v15.i01.5148
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.13107/jocr.2025.v15.i01.5148
Introduction: Inferior or subacromial dislocation of the distal clavicle is a rare entity. Previous reports of this injury pattern have largely been limited to Rockwood VI acromioclavicular joint (AC) dislocations, with the distal clavicle located in the subcoracoid position. Few case reports have been described with the inferior clavicle being located in the subacromial space, and these have all been previously associated with clavicle fractures. To our knowledge, no previous case report exists in the literature with this AC joint injury and associated scapular spine fracture. Case Report: Here, we report on a case of a 30-year-old right-hand dominant African American male who suffered a high-energy left-sided inferior distal clavicle dislocation with an associated scapular spine fracture that was successfully treated with open reduction of the AC joint dislocation, followed by open reduction and internal fixation (ORIF) of the scapular spine fracture. After ORIF of the scapular spine and reduction of the AC joint, the AC joint was deemed to be a capsular injury with intact ligaments, so a simple capsular repair was performed. We also summarize the existing literature on this topic. Conclusion: Inferior dislocation of the clavicle into the subacromial space with an associated scapular spine fracture is an extremely rare injury which has not been previously reported. This injury can successfully be managed by first reducing the AC joint, and then proceeding with anatomic reduction and fixation of the scapular spine with good functional result. The ligaments surrounding the AC joint in the subacromial pattern are often intact, and the dislocation is a result of capsular injury. This leads us to believe that subtyping the Rockwood VI classification to VIa (subacromial) and VIb (subcoracoid) would be useful for orthopedic surgeons due to differences in associated injury and subsequent operative management. Keywords: AC joint, clavicle, scapula, Rockwood.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.13107/jocr.2025.v15.i01.5148
- OA Status
- gold
- Cited By
- 1
- References
- 2
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406167796
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406167796Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.13107/jocr.2025.v15.i01.5148Digital Object Identifier
- Title
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Subacromial Distal Clavicle Dislocation with Associated Scapular Spine Fracture: A Case ReportWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-01Full publication date if available
- Authors
-
Jake A. Fox, Reagan L Mead, M. Wharton Young, S.C. Lee, Lance E. LeClere, Peter S. ChangList of authors in order
- Landing page
-
https://doi.org/10.13107/jocr.2025.v15.i01.5148Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.13107/jocr.2025.v15.i01.5148Direct OA link when available
- Concepts
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Medicine, Subacromial impingement, Clavicle, Fracture (geology), Dislocation, Scapula, Anterior shoulder dislocation, Orthodontics, Surgery, Rotator cuff, Anterior shoulder, Composite material, Materials scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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2Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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