Dear Editor,

We appreciate the thoughtful comments from Ozyurek et al. on our article about a rare case of acromioclavicular (AC) dislocation with coracoclavicular (CC) ligament clavicular avulsion fracture [1]. We now recognize that they had reported a similar case with a CC ligament clavicular avulsion fracture and posterior AC dislocation as early as 2009 [2]. Our lapse in literature review occurred because the case report by Fazal et al. was not available on the PubMed or MEDLINE electronic databases, the two most popular databases for scholarly searches, using the keyword “clavicle fracture.”

The two rare case reports emphasize the possibility of AC dislocation with CC ligament avulsion fracture as a variant of AC dislocation. The treatment algorithm depends on the fracture size, displacement, comminution, degree of extension, and intergrity of the attached CC ligament, and it aims to achieve stable fixation. Finally, we thank Ozyurek et al. for bringing this to our attention and also congratulate Fazal et al. on their successful management and first report of such an uncommon clavicular fracture.