PMC4049037_01
Preoperative CT scan shows a fracture dislocation of the SC Joint (a) and a lateral clavicle fracture (b)
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F1
II b according to Neer, a fracture of the medial end of the clavicle with anterior dislocation of the SC joint (type III according to Allman, Figure 1). In addition, a reverse Hill-Sachs lesion was apparent, affecting approximately 20% of the articular surface of the humeral head [Figure 2].
Arthroscopy of the glenohumeral joint shows the reverse Hill-Sachs lesion (a). The defect was elevated indirectly using an aiming device originally designed for posterior cruciate ligament reconstruction (b, c)
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F2
II b according to Neer, a fracture of the medial end of the clavicle with anterior dislocation of the SC joint (type III according to Allman, Figure 1). In addition, a reverse Hill-Sachs lesion was apparent, affecting approximately 20% of the articular surface of the humeral head [Figure 2]. Umkirch, Germany). Subsequent arthroscopy of the glenohumeral joint confirmed the reverse Hill-Sachs lesion [Figure 2a]. Using an aiming device originally designed for posterior cruciate ligament reconstruction (Fa. Additional support by a bone graft was not required [Figure 2b,c].
PMC4049037_02
Radiographs at follow-up showed a bony union of the fractures and stable reduction of both the SC and AC joint (a). The articular surface of the humeral head is reconstructed after arthroscopically assisted elevation of the defect (b)
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F3
AC joint [Figure 3a,b]. At follow-up 6 months postoperatively, the patient presented with free range of motion and only mild discomfort during physical activity.
PMC4049037_03
PMC4049037_04