Case Report: Floating-clavicle from the 17th Century: The Oldest Case?
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Dislocation of both ends of the clavicle is a rare traumatic lesion and the mechanism of the lesion is usually related to major trauma. The first case was described in 1831.
We present the oldest referenced case of this alteration. The skeleton studied belonged to an old woman buried inside the Sant Pere de Madrona Church in Berga (Barcelona/Spain) and its dating indicated it corresponded to the end of the 17th century. There was a pseudarthrosis between the clavicle and coracoid ligament; when the bones were reconstructed by pseudarthrosis both ends of the clavicle appeared dislocated.
Bipolar dislocation of both ends of the clavicle, or “floating-clavicle”, is a rare injury. Since 1831 when this type of injury was first reported, approximately 40 cases have been published. No archaeological case has been published.
Despite experiencing bipolar dislocation of both ends of the clavicle, or floating-clavicle, it is possible to have acceptable function of the arm as suggested by the anthropologic parameters analyzed here. The head of the humerus of the affected shoulder shows no abnormalities and the contralateral glenoid cavity shows severe osteochondritis of the anteroinferior side.
- Arenas AJ, Pampliega T, Iglesias J. Surgical management of bipolar clavicular dislocation. Acta Orthop Belg. 1993;59:202–205.
- Argintar E, Holzman M, Gunther S. Bipolar clavicular dislocation. Orthopedics. 2011;34:e316–319.
- Attarian DE. Atraumatic floating clavicle and total claviculectomy. J South Orthop Assoc.1999;8:293–296.
- Beckman T. A case of simultaneous luxation of both ends of the clavicle. Acta Chir Scandinavica. 1924;56:156–163.
- Benabdallah O. [Bipolar luxation of the clavicle: apropos of a case] [in French]. Rev Chir Orthop Reparatrice Appar Mot. 1991;77:263–266.
- Capasso L, Kennedy KA, Wilczak CA. Atlas of Occupational Markers of Human Remains. Teramo, Italy: Edigrafital SPA; 1998.
- Caranfil R. [Bipolar luxation of the clavicle: a case report] [in French]. Acta Orthop Belg. 1999;65:102–104.
- Cook F, Horowitz M. Bipolar clavicular dislocation: report of a case. J Bone Joint Surg Am. 1987;69:145–147.
- De Palma AF. Surgery of the Shoulder. Philadelphia, PA: WB Saunders; 1972.
- Dieme C, Bousso A, Sane A, Sane JC, Niane M, Ndiaye A, Sy MH, Seye S. [Bipolar dislocation of the clavicle or floating clavicle: a report of 3 cases] [in French]. Chir Main. 2007; 26:113–116.
- Echo BS, Donati RB, Powell CE. Bipolar clavicular dislocation treated surgically: a case report. J Bone Joint Surg Am. 1988;70:1251–1253.
- Eni-Olotu DO, Hobbs NJ. Floating clavicle: simultaneous dislocation of both end of the clavicle. Injury. 1997;28:319–320. CrossRef
- Fierro Macía J. [Archaeological research of the monument: the castle and the church] [in Catalan]. L’Erol: revista cultural del Berguedà. 2010;104:14–20.
- Galí Farré D, Ventura Sellés A. [The site of Madrona through documents. Castle, parishioners and farmhouses] [in Catalan]. L’Erol: revista cultural del Berguedà. 2010;104:21–29.
- Gearen PF, Petty W. Panclavicular dislocation: report of a case. J Bone Joint Surg Am. 1982;64:454–455.
- Kohler A. Roentgentology: The Borderlands of the Normal and Early Pathological in the Skiagram., Translated and edited by Arthur Turnbull. Ed 5. New York, NY: William Wood; 1928.
- Jain AS. Traumatic floating clavicle: a case report. J Bone Joint Surg Br. 1984;66:560–561.
- Le Huec JC, Mc Bride JT, Liquois F, Lesprit E, A. Le Rebeller. Bipolar lesion of the clavicle: report of two cases. Eur J Orthop Surg Tr. 1998;8:85–87. CrossRef
- Liberson F. Os acromiale: a contested anomaly. J Bone Joint Surg Am. 1937;19:683–689.
- Liria J, Carrascal S, Laguillo O, Núñez A, Fadrique T, Malgosa A. [The burials from Sant Pere de Madrona church: anthropological study] [in Catalan]. L’Erol: revista cultural del Berguedà. 2010;104:30–32.
- Ljunggren AE. Clavicular function. Acta Orthop Scand. 1979;50:261–268. CrossRef
- Mudge MK, Wood VE, Frykman GK. Rotator cuff tears associated with os acromiale. J Bone Joint Surg Am. 1984;66:427–429.
- Neumann W. [About “Os acromiale”] [in German]. Fortschr Geb Röntgenstr. 1918;25:180–191.
- Porral A. [Observation of a double dislocation of the right clavicle] [in French]. J Uni Hebd Med Chir Prat. 1831;2:78–82.
- Rockwood CA. Fractures and dislocations of the shoulder: Part II. Subluxations and dislocations about the shoulder. In Rockwood CA, Green DP, eds. Fractures in Adults. Vol 1, Ed 2. Philadelphia, PA: JB Lippincott; 1984:722–985.
- Sanders JO, Lyons FA, Rockwood CA Jr. Management of dislocations of both ends of the clavicle. J Bone Joint Surg Am. 1990;72:399–402.
- Scapinelli R. Bipolar dislocation of the clavicle: 3D CT imaging and delayed surgical correction of a case. Arch Orthop Trauma Surg. 2004;124:421–424. CrossRef
- Schemitsch LA, Schemitsch EH, McKee MD. Bipolar clavicle injury: posterior dislocation of the acromioclavicular joint with anterior dislocation of the sternoclavicular joint. A report of two cases. J Shoulder Elbow Surg. 2011;20:e18–22. CrossRef
- Case Report: Floating-clavicle from the 17th Century: The Oldest Case?
Clinical Orthopaedics and Related Research®
Volume 470, Issue 2 , pp 622-625
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Unitat d’Antropologia Biològica, Departament de Biologia Animal, Biologia Vegetal i Ecologia, Universitat Autònoma de Barcelona, Bellaterra, Spain
- 2. Instituto de Cirugía Ortopédica y Traumatología de Barcelona, Barcelona, Spain
- 3. Hospital Universitari del Sagrat Cor, Barcelona, Spain
- 4. Serv. C.O.T. Hosp, Sagrat Cor/ Unidad Docente U.B., Viladomat 288, 08029, Barcelona, Spain