# Traumatic Floating Clavicle: A Case Report and Updated Literature Review

## TL;DR

A rare case of traumatic floating clavicle is reported, involving dislocations at both ends of the clavicle after a motorcycle accident, with successful surgical treatment and good recovery.

## Contribution

A detailed case report and literature review on traumatic floating clavicle with a focus on surgical treatment and outcomes.

## Key findings

- Surgical stabilization using FiberTape® and Dog Bone™ Button resulted in excellent outcomes at one-year follow-up.
- Literature review highlights the rarity and treatment options for traumatic floating clavicle injuries.

## Abstract

Traumatic floating clavicle or bipolar dislocation is a rare injury. Herein, we present a case of ipsilateral sternoclavicular and acromioclavicular joint dislocation after a motorcycle accident. The patient was a 43-year-old man who presented with right shoulder pain and limited range of motion. The radiograph revealed superior displacement of the acromioclavicular joint dislocation and suspected ipsilateral sternoclavicular joint dislocation and a CT scan confirmed injuries to both the medial and lateral ends of the clavicle. Due to the patient being active and young, we considered operative treatment. The sternoclavicular joint was stabilized with FiberTape® suture (Arthrex, Naples, FL), and the acromioclavicular joint with Dog Bone™ Button (Arthrex) and suture cerclage. At the one-year follow-up, the patient reported excellent outcomes without complications. We also summarize the literature on this particular injury, including its characteristics, surgical options, and treatment outcomes.