A case report-management of concomitant acromion fracture with acromioclavicular joint dislocation

Authors

  • Justin Thomas Department of Orthopaedics, SP Medifort Hospital, Trivandrum, India https://orcid.org/0009-0000-2591-996X
  • Niranjan T. J. Department of Orthopaedics, SP Medifort Hospital, Trivandrum, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20252663

Keywords:

Acromion fracture, Acromioclavicular joint dislocations, Endo-button fixation, Reconstruction plate, Tightrope

Abstract

Shoulder injuries which comprises of simultaneous acromion fracture and acromioclavicular dislocations are rare injuries which were usually managed conservatively or sub optimally in previous times. These managements provided functional results with variable satisfaction.  But in this era of grand armamentarium of fixation options we are trying a management option for these type of injuries. Here  we present the case of 52 year old gentleman who met with a road traffic injury presented with right dominant side injury with pain and inability to move the shoulder. X-ray and CT evaluation done which yielded concomitant acromion fracture and acromioclavicular joint ligamentous dislocation. He was managed by fixation of acromion fracture by 4 holed 3.5 locking reconstruction plate and tightrope endo-button fixation of the acromioclavicular joint. As the said injury is a rare injury,  literature references aided in decision making. Systematic approach to the injury along with a planned rehabilitation protocol yielded patient near normal pre injury level status of dominant side shoulder function. More literature must be published with variants of these fractures and varying fixation methods to attain a meta-analysis level for conclusive evidence.

 

Metrics

Metrics Loading ...

References

Maleki A, Dibamehr M, Bisadi A, Kouhestani E. Innovative approach to managing acromion fracture and acromioclavicular joint dislocation: A case report. International J Surg Case Rep. 2024;117:109446.

Kuhn JE, Blasier RB, Carpenter JE. Fractures of the acromion process: a proposed classification system. Journal of orthopaedic trauma. 1994;8(1):6-13. DOI: https://doi.org/10.1097/00005131-199402000-00002

Frank RM, Cotter EJ, Leroux TS, Romeo AA. Acromioclavicular joint injuries: evidence-based treatment. J American Acad Orthopaed Surg. 2019;27(17):775-88. DOI: https://doi.org/10.5435/JAAOS-D-17-00105

Maleki A, Dibamehr M, Bisadi A, Kouhestani E. Innovative approach to managing acromion fracture and acromioclavicular joint dislocation: A case report. International J Surg Case Reports. 2024;117:109446. DOI: https://doi.org/10.1016/j.ijscr.2024.109446

Bahk MS, Kuhn JE, Galatz LM, Connor PM, Williams Jr GR. Acromioclavicular and sternoclavicular injuries and clavicular, glenoid, and scapular fractures. JBJS. 2009;91(10):2492-510.

Zarei M, Besharaty S, Moharrami A, Ghaedi R. Acromion fracture and acromioclavicular joint dislocation: a case report. J Orthoped Spine Trauma. 2020;4(4):47. DOI: https://doi.org/10.18502/jost.v4i4.3099

Downloads

Published

2025-08-25

How to Cite

Thomas, J., & J., N. T. (2025). A case report-management of concomitant acromion fracture with acromioclavicular joint dislocation. International Journal of Research in Orthopaedics, 11(5), 1278–1282. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20252663