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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 fi rst 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 andfatcat:ucr6hdxvxfddrhpr6i5tfrz4c4