Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report
Abstract Background Intraosseous suture-button devices have been used for acromioclavicular joint reconstruction due to its relative simplicity compared with other procedures. However, the complications of acromioclavicular joint reconstruction using a suture-button are not fully understood. Here, w...
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BMC
2019-07-01
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Series: | BMC Musculoskeletal Disorders |
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Online Access: | http://link.springer.com/article/10.1186/s12891-019-2720-z |
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author | Doji Inoue Ryogo Furuhata Kazuya Kaneda Yoshihiro Ritsuno Aki Kono Yasuhiro Kiyota Hideo Morioka Hiroshi Arino |
author_facet | Doji Inoue Ryogo Furuhata Kazuya Kaneda Yoshihiro Ritsuno Aki Kono Yasuhiro Kiyota Hideo Morioka Hiroshi Arino |
author_sort | Doji Inoue |
collection | DOAJ |
description | Abstract Background Intraosseous suture-button devices have been used for acromioclavicular joint reconstruction due to its relative simplicity compared with other procedures. However, the complications of acromioclavicular joint reconstruction using a suture-button are not fully understood. Here, we describe a case of a clavicle fracture at the suture hole following acromioclavicular joint reconstruction using a suture-button and hook plate. Case presentation A 28-year-old man presented at our hospital after a fall from his bicycle. The patient had a history of acromioclavicular joint reconstruction with a suture-button and a hook plate for right acromioclavicular joint dislocation, seven months ago at another hospital. The hook plate had been removed four months ago, while X-ray radiography before removal had shown the widening of a suture hole. In the current fall from the bicycle, X-ray radiography revealed a clavicle fracture through the previous drill hole for suture-button. We removed the suture-button and performed an open reduction and internal fixation for the clavicle fracture. Conclusion The present case indicated that a clavicle fracture at the suture hole, although rare, is one of the complications after an acromioclavicular joint reconstruction using a suture-button. This case suggested that drilling to the necessary minimum when making suture holes and paying attention to the widening of suture holes are important to prevent a postoperative clavicle fracture. |
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issn | 1471-2474 |
language | English |
last_indexed | 2024-12-13T05:24:26Z |
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series | BMC Musculoskeletal Disorders |
spelling | doaj.art-5a794a9abf64422d9368a53cdc5f73ef2022-12-21T23:58:15ZengBMCBMC Musculoskeletal Disorders1471-24742019-07-012011410.1186/s12891-019-2720-zClavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case reportDoji Inoue0Ryogo Furuhata1Kazuya Kaneda2Yoshihiro Ritsuno3Aki Kono4Yasuhiro Kiyota5Hideo Morioka6Hiroshi Arino7Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterDepartment of Orthopaedic Surgery, National Hospital Organization Tokyo Medical CenterAbstract Background Intraosseous suture-button devices have been used for acromioclavicular joint reconstruction due to its relative simplicity compared with other procedures. However, the complications of acromioclavicular joint reconstruction using a suture-button are not fully understood. Here, we describe a case of a clavicle fracture at the suture hole following acromioclavicular joint reconstruction using a suture-button and hook plate. Case presentation A 28-year-old man presented at our hospital after a fall from his bicycle. The patient had a history of acromioclavicular joint reconstruction with a suture-button and a hook plate for right acromioclavicular joint dislocation, seven months ago at another hospital. The hook plate had been removed four months ago, while X-ray radiography before removal had shown the widening of a suture hole. In the current fall from the bicycle, X-ray radiography revealed a clavicle fracture through the previous drill hole for suture-button. We removed the suture-button and performed an open reduction and internal fixation for the clavicle fracture. Conclusion The present case indicated that a clavicle fracture at the suture hole, although rare, is one of the complications after an acromioclavicular joint reconstruction using a suture-button. This case suggested that drilling to the necessary minimum when making suture holes and paying attention to the widening of suture holes are important to prevent a postoperative clavicle fracture.http://link.springer.com/article/10.1186/s12891-019-2720-zSuture-buttonSuture-button fixationClavicle fractureAcromioclavicular reconstructionSuture-button complication |
spellingShingle | Doji Inoue Ryogo Furuhata Kazuya Kaneda Yoshihiro Ritsuno Aki Kono Yasuhiro Kiyota Hideo Morioka Hiroshi Arino Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report BMC Musculoskeletal Disorders Suture-button Suture-button fixation Clavicle fracture Acromioclavicular reconstruction Suture-button complication |
title | Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report |
title_full | Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report |
title_fullStr | Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report |
title_full_unstemmed | Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report |
title_short | Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report |
title_sort | clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture button a case report |
topic | Suture-button Suture-button fixation Clavicle fracture Acromioclavicular reconstruction Suture-button complication |
url | http://link.springer.com/article/10.1186/s12891-019-2720-z |
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