Bipolar dislocation of clavicle in a poly trauma patient

Simultaneous dislocation or subluxation of both ends of the clavicle is rare. There is no consensus in the literature regarding the treatment for bipolar dislocations of the clavicle. Our case a 14 year old polytrauma patient suffered bipolar dislocation of the right clavicle. The sternoclavicular joint showed an anterior dislocation, the acromioclavicular joint showed a grade II dislocation according to Rockwood. The patient had several additional injuries especially chest injury, renal and liver laceration. The medial and the lateral end of the clavicle were open reduced and fixed. At 1 year follow up his DASH scores was 0.9, with good functional recovery. Hence an operative management for bipolar dislocation of the clavicle is a good treatment alternative in young patients, with good functional outcome.