Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report

Doji Inoue, Ryogo Furuhata, Kazuya Kaneda, Yoshihiro Ritsuno, Aki Kono, Yasuhiro Kiyota, Hideo Morioka, Hiroshi Arino

Research output: Contribution to journalArticle

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.

Original languageEnglish
Article number333
Pages (from-to)333
Number of pages1
JournalBMC Musculoskeletal Disorders
Volume20
Issue number1
DOIs
Publication statusPublished - 18-07-2019

All Science Journal Classification (ASJC) codes

  • Rheumatology
  • Orthopedics and Sports Medicine

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    Inoue, D., Furuhata, R., Kaneda, K., Ritsuno, Y., Kono, A., Kiyota, Y., Morioka, H., & Arino, H. (2019). Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report. BMC Musculoskeletal Disorders, 20(1), 333. [333]. https://doi.org/10.1186/s12891-019-2720-z