Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China.
Department of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, 500082, India.
Chin J Traumatol. 2024 Mar;27(2):121-124. doi: 10.1016/j.cjtee.2023.04.003. Epub 2023 Apr 11.
A fracture of the acromion and coracoid processes of scapula is rarely seen in the outpatient clinic, due to the acromion's anatomical position and shape, as well as the strong ligaments and muscles that are attached to it. These fractures are caused by either direct or indirect high-energy trauma injuries to the shoulder joint, leading to severe pain and a grossly restricted range of motion. Several acromial classifications were reported, but this type of longitudinal plane fracture of the acromion process in our case is yet to be described in the current literature. We present a rare combination of the coracoid process and unstable acromion bony projection fractures that have not previously been noted for this type of fracture. The closest to this is Kuhn's type III classification. A 51-year-old male presented to our emergency department complaining of the right shoulder pain and difficulty raising his arm following a 2-wheeler accident. The patient was managed by open reduction and internal fixation with 3 cannulated cancellous screws fixation and progressed well with no postoperative complications. He was asymptomatic postoperatively and regained full range of motion after 4 months.
肩胛骨肩峰和喙突骨折在门诊很少见，这是由于肩峰的解剖位置和形状，以及附着其上的强有力的韧带和肌肉。这些骨折是由肩关节的直接或间接高能创伤引起的，导致严重疼痛和运动范围明显受限。已经报道了几种肩峰分类，但在我们的病例中，这种肩峰突的纵向平面骨折类型在当前文献中尚未描述。我们提出了一种罕见的喙突和不稳定肩峰骨突出骨折的组合，这种骨折以前在这种类型的骨折中没有被注意到。最接近的是库恩的 III 型分类。一名 51 岁男性因骑摩托车事故导致右肩部疼痛和手臂抬起困难而到我院急诊就诊。患者接受了切开复位和 3 枚空心松质骨螺钉内固定治疗，术后恢复良好，无术后并发症。术后患者无症状，4 个月后恢复全范围活动。
