ArticleCureus2026
Rockwood Type VIb Acromioclavicular Joint Dislocation With Ipsilateral Proximal Humerus Fracture-Dislocation and Scapular Spine Fracture: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Rockwood type VI acromioclavicular (AC) joint dislocations are extremely rare high-energy injuries characterized by inferior displacement of the distal clavicle and are often associated with complex shoulder girdle injury. We report the case of a 36-year-old male who sustained a Gustilo-Anderson type IIIA open Rockwood type VIb AC joint dislocation associated with a Neer two-part proximal humerus fracture-dislocation and an ipsilateral scapular spine fracture following a road traffic accident. The patient underwent early surgical debridement and single-stage operative management, including open reduction and internal fixation of the proximal humerus using a locking plate (Proximal Humerus Multiple Locked Plate; Sharma Orthopedic, Gujarat, India) and stabilization of the AC joint with a coracoclavicular screw (Cortical Screw 3.5 mm; Sharma Orthopedic, Gujarat, India), while the scapular fracture was managed conservatively. At the 12-month follow-up, the patient demonstrated excellent radiological and functional outcomes, without complications. This case highlights the importance of a high index of suspicion for associated injuries in high-grade AC joint dislocations and shows that early, single-stage surgical stabilization using sound biomechanical principles can restore anatomy and function even in rare and complex injury patterns.
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