Surgical treatment for fracture of the medial end of the clavicle associated with ipsilateral acromioclavicular dislocation.

The combination of an acromioclavicular joint dislocation and an ipsilateral medial end clavicle fracture is extremely rare. We report an acromioclavicular joint dislocation type IV associated with ipsilateral medial end clavicle fracture. The clavicular fracture was surgically treated with a locking plate and a non-operative treatment was conducted for the acromioclavicular joint dislocation. The results were clinically excellent for this 48-year-old, right-handed and sportive male patient at 3 months follow-up, with pain free full of range of motions and return to sports activities obtained.