Acromial fracture
Presentation
Fall down three stairs. Tender proximal humerus and shoulder.
Patient Data
Age: 70 years
Gender: Male
From the case:
Acromial fracture
X-ray
Shoulder
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Frontal
Lucency through the acromion is suspicious for a fracture. No dislocation.
From the case:
Acromial fracture
CT
Shoulder
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Axial bone window
Comminuted, mildly displaced fracture through the acromion, extending to the articular surface of the acromioclavicular joint.
Case Discussion
Isolated acromial fractures are uncommon, accounting for only 8% of scapular fractures. They are often associated with rotator cuff injury and impairment of shoulder function.
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