Displaced acromion fracture: A rare injury, case report

Int J Surg Case Rep. 2017:39:313-316. doi: 10.1016/j.ijscr.2017.08.051. Epub 2017 Sep 1.

Abstract

Introduction: Acromion fractures are extremely rare. There are no common accepted treatment schemes and fixation methods We aimed to present a case which may contribute to the diagnosis and treatment of acromion fracture in a patient with polytrauma.

Presentation of case: Acromion fracture associated with scapula and clavicle fractures was diagnosed in 40 years old patient and treated with open reduction and cannulated screw fixation. The fracture healing was completed without causing subacromial impingement.

Discussion: In patients with polytrauma, diagnosis and treatment of acromion fractures can be delayed or overlooked. In improperly treated acromion fractures; pain, movement restriction, subacromial impingement, rotator cuff injury and symptomatic nonunion can occur.

Conclusion: We recommend early surgical treatment for displaced acromion fractures, reduction of subacromial space and disruption of the superior shoulder suspensory complex.

Keywords: Acromion; Scapula; Shoulder injury; Superior shoulder suspensory complex.