Acromioclavicular injury and coracoid process fracture

Case contributed by Dr Abdulmajid Bawazeer

Presentation

Right upper chest trauma and pain after falling from 6 meters at work.

Patient Data

Age: 50 years
Gender: Male

An increase in the acromioclavicular joint space. Coracoid process fracture. No shoulder dislocation.

Displaced coracoid process fracture. The acromioclavicular joint is outside the field of view.

Subcutaneous emphysema is also noted.

Post internal fixation

X-ray

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.

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