Abstract
INTRODUCTION: Clavicle fractures and acromioclavicular (AC) joint disruptions are very common injuries. However, both injuries occurring simultaneously are very rare entities. CASE REPORT: In this article, we report a case of 21-year-old gentleman with a history of road traffic accident with a right mid-shaft clavicle fracture. We planned for the right clavicle plating. Intraoperatively incidentally, we found that the patient is having type 4 rockwood AC joint disruption with complete posterior displacement and gross instability. We repaired it after plating the clavicle using Ethibond with intraosseous sutures and augmented with trans acromion k wire. Later, k wire was removed, and the patient regained full range of motion shoulder after subsequent follow-up and physiotherapy. CONCLUSION: Clavicle fractures with ipsilateral AC joint disruptions are very rare. Diagnosing the AC joint disruption and appropriate management is very essential to regain the shoulder function and outcome.