<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000200123</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fractura luxación bipolar de clavícula: clavícula flotante]]></article-title>
<article-title xml:lang="en"><![CDATA[Clavicle bipolar fracture dislocation: floating clavicle]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Gasca]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Rodríguez]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña Reyes]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles León Departamento de Imagenología ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>123</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000200123&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  La fractura luxación bipolar de clavícula es una lesión extraordinaria, existen menos de 50 casos reportados en la literatura, ocurre a consecuencia de trauma directo de alta energía. Fue descrita inicialmente por Porral en 1831; por ser una lesión muy rara no existe consenso en cuanto al tratamiento.  Caso clínico: Masculino de 50 años que sufrió traumatismo directo al caer de tres metros de altura sobre hombro izquierdo, fue atendido por empírico e inmovilizado por Velpeau, acudió a urgencias dos semanas después por presentar fiebre y supuración en región de articulación esternoclavicular. A la exploración: temperatura de 38 oC; zona de 2 cm de diámetro de pérdida de sustancia que permitía ver hueso sobre área de articulación esternoclavicular izquierda con supuración abundante. Los estudios mostraron fractura luxación bipolar de clavícula expuesta en su porción medial con infección activa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Bipolar fracture dislocations of the clavicle are rare injuries, there are less of 50 cases reported. Usually it is result of high-energy direct trauma. Porral in 1831 described the first case. Management of these injuries has remained controversial ranging from non operative to aggressive surgery.  Clinical case:  A 50 years old male, who suffered three meters fall over left shoulder, attended initially by empiric with Velpeau for three weeks, patient comes to Emergency Room with fever and purulent material of left sternoclavicular joint exploration. Physical exploration showed: temperature of 38 oC; 2 cm in diameter area with loss of substance, including viewing area bone on left sternoclavicular joint with abundant purulent secretion. Studies showed bipolar dislocation fracture collarbone, exposed in its medial portion with active infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura luxación bipolar de clavícula]]></kwd>
<kwd lng="es"><![CDATA[clavícula flotante]]></kwd>
<kwd lng="en"><![CDATA[Bipolar fracture dislocations of the clavicle]]></kwd>
<kwd lng="en"><![CDATA[floating clavicle]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Observation d&amp;apos;une double luxation de la clavicule droite]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Porral]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[J Univ Hebd Med Chir]]></source>
<year>1831</year>
<volume>2</volume>
<page-range>78-82</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A case of simultaneous luxation of both ends of the clavicle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beckman]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Chir Scandinavica]]></source>
<year>1924</year>
<volume>56</volume>
<page-range>156-63</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Management of dislocations of both ends of the clavicle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanders]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
<name>
<surname><![CDATA[Lyons]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Rockwood]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>1990</year>
<volume>72</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>399-402</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Bipolar dislocation of the clavicle or floating clavicle A report of 3 cases]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dieme]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bousso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sane]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sané]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Niane]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ndiaye]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Chir Main]]></source>
<year>2007</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>113-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Traumatic floating clavicle a case report and literature review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gouse]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jacob]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Poonnoose]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<source><![CDATA[Case Rep Orthop]]></source>
<year>2013</year>
<volume>2013</volume>
<page-range>386089</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Traumatic floating clavicle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yurdakul]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Salt]]></surname>
<given-names><![CDATA[Ö]]></given-names>
</name>
<name>
<surname><![CDATA[Uzun]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Dogar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Güney]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Durukan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2012</year>
<volume>30</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>2097.e3-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Multidetector computed tomography of chest trauma indications, technique and interpretation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mirka]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Ferda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Baxa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Insights Imaging]]></source>
<year>2012</year>
<volume>3</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>433-49</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Open clavicle fractures and associated injuries]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taitsman]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Nork]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Coles]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Barei]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Agel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2006</year>
<volume>20</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>396-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sternoclavicular joint reconstruction--a systematic review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thut]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hergan]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dukas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sherman]]></surname>
<given-names><![CDATA[OH]]></given-names>
</name>
</person-group>
<source><![CDATA[Bull NYU Hosp Jt Dis]]></source>
<year>2011</year>
<volume>69</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>128-35</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surgical anatomy of the sternoclavicular joint a qualitative and quantitative anatomical study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Michalski]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Spiegl]]></surname>
<given-names><![CDATA[UJ]]></given-names>
</name>
<name>
<surname><![CDATA[Wijdicks]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2014</year>
<volume>96</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>e166</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Management of traumatic sternoclavicular joint injuries]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Groh]]></surname>
<given-names><![CDATA[GI]]></given-names>
</name>
<name>
<surname><![CDATA[Wirth]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>2011</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A safe zone for resection of the medial end of the clavicle]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bisson]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Dauphin]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Marzo]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<source><![CDATA[J Shoulder Elbow Surg]]></source>
<year>2003</year>
<volume>12</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>592-4</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Long-term outcome after joint reconstruction or medial resection arthroplasty for anterior SCJ instability]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Panzica]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zeichen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hankemeier]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gaulke]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Krettek]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jagodzinski]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>2010</year>
<volume>130</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>657-65</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
