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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Main Authors: Doji Inoue, Ryogo Furuhata, Kazuya Kaneda, Yoshihiro Ritsuno, Aki Kono, Yasuhiro Kiyota, Hideo Morioka, Hiroshi Arino
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Musculoskeletal Disorders
Subjects:
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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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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