Presentation
Right upper chest trauma and pain after falling from 6 meters at work.
Patient Data
Age: 50 years
Gender: Male
From the case:
Acromioclavicular injury and coracoid process fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/110903/annotated_viewer_json?iframe=true\u0026lang=us"}
An increase in the acromioclavicular joint space. Coracoid process fracture. No shoulder dislocation.
From the case:
Acromioclavicular injury and coracoid process fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/112511/annotated_viewer_json?iframe=true\u0026lang=us"}
Displaced coracoid process fracture. The acromioclavicular joint is outside the field of view.
Subcutaneous emphysema is also noted.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/110904/annotated_viewer_json?iframe=true\u0026lang=us"}
Fixation of acromioclavicular joint by K-wire with good alignment. No hardware fracture or clavicular fracture. Coracoid process fracture.
Case Discussion
An increased acromioclavicular distance >8 mm indicates an acromioclavicular joint injury. Coracoid process fractures are an uncommon association. In our case, these were injuries were due to a large fall.