Open acromion fracture with a massive rotator cuff tear: A rare injury, case report

Abstract

Introduction and importance: The combination of an open acromion fracture with a massive rotator cuff tear is an exceptional lesion, rarely described in the literature. It generally occurs after open shoulder trauma, and requires well-codified therapeutic measures to avoid complications that could keep the patient from being as autonomous as possible and able to perform daily activities.

Case presentation: We report the case of a 26-year-old patient with a wound on the posterior surface of the left shoulder following an attack. Standard X-ray showed a fracture of the acromion. Surgical exploration revealed a rupture of the supraspinatus and infraspinatus tendons. Internal fixation with a cancellous screw was performed for the acromion fracture after rotator cuff tendons repair. At the last follow-up, we obtained very encouraging functional and radiological results.

Clinical discussion: This combination of lesions is extremely rare, and few authors have discussed it. There is no universally accepted surgical technique for the repair of this type of injury, and too many techniques have been described.

Conclusion: It's a rare and serious shoulder injury, compromising the functional prognosis of the injured upper limb, hence the importance of correct initial medical and surgical management to avoid the development of chronic injuries with severe functional and professional repercussions for the patient.

Keywords: Acromion; Case report; Massive tear; Open fracture; Rotator cuff.