Abstract

Introduction: Acute acromioclavicular joint (ACJ) dislocation occurring years after a healed, plated mid shaft clavicle fracture is extremely rare, and limited evidence guides management. Pre-existing hardware introduces unique biomechanical and technical considerations during coracoclavicular (CC) reconstruction.

Case Presentation: A 32-year-old male sustained an isolated Rockwood V ACJ dislocation four years after mid-shaft clavicle plating. Because a distal plate hole aligned favourably with the coracoid, a minimally inva sive TightRope suture-button construct was passed through the existing plate to restore CC stability. .

Conclusion: Acute ACJ dislocation following prior clavicle plating can be effectively managed using a Tight Rope construct through the existing plate, avoiding implant removal and enabling early mobilisation.

DOI: doi.org/10.63721/25JCTC0124

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