35/Make with History of fall from Bike with Severe pain in left shoulder with tenderness (+) Not able to lift the left shoulder ROM (+) ATTACHED XRAY


Dislocated acrominal end of rt clavical with scapula i.e. dislocated acrominoscapular joint at the same time a dense shadow in mid shaft of rt clavical is susipicious pathological and needs further evaluation.

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Acromioclavicular dislocation A standing xray with two kg weight in the hand will reveal the extend of instabilty. Fixation with a hook plate is advisable.

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Dear Dr. Blesso, This is a Fracture of lateral third of Right clavicle with associated Acromioclavicular joint dislocation. The dense shadow over the clavicle signifies an overlap of fragments. This injury needs surgery due to 2 factors: 1. It leads to AC joint instability (as already seen here) 2. Risk of non-union as the lateral end is unstable. Simple strapping or arm slings wont do. He needs ORIF with either a distal clavicular LCP (with wiring of AC joint) or a long hook plate

Thanks Dr.Kiran for ur guide

Acromioclavicular joint disruption. First treat conservatively by CR followed by sayer's strapping if conservative failure then surgical tight rope technique fxn

Right acromioclavicular joint subluxation.

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Clavicle bone fracture reduction or bandage of 8 will help

Looks like grade 2-3 ACJ Sprain Get an good axial view to know the clavicle displacement and also the x ray with weights in the hands

@Dr. Syam Sundar Patro

Clavicle fracture with dislocation of humerus

Right AC joint disruption closed reduction with jones strapping if its not reduced OR

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Diseases Related to Discussion

Joint Instability
Bone Fracture