Bipolar clavicular instability – open reduction and tape augmentation of both joints: A case report

Jacob, Elena; Herbst, Elmar; Raschke, Michael J.; Katthagen, Jan Christoph

Abstract

A 62-year-old male suffered from a bipolar clavicle dislocation (BCD) due to a high velocity biking accident. Surgical reduction and repair was performed in both joints using non-resorbable tape-cerclages, which resulted in a good clinical outcome without any remaining instability. This technique for the fixation and stabilization is effective and not yet described in literature. Since BCD is a rare injury, there is no standardized treatment algorithm. In order to prevent chronic instability and enable adequate rehabilitation, we recommend early surgical repair and deem open reduction and tape augmentation an effective treatment option.