Subacute Acromioclavicular Dislocation After Basal Coracoid Process Fracture: Indirect Reduction without Open...

Area of Science:

• Orthopedic Surgery
• Trauma Care
• Shoulder மேல் Extremity Injuries

Background:

• Coracoid process fractures are often associated with other shoulder girdle injuries.
• Acromioclavicular joint dislocations require prompt and accurate reduction for optimal outcomes.

Observation:

• A 55-year-old male sustained direct shoulder trauma, initially presenting with an isolated undisplaced basal coracoid process fracture.
• One week later, the patient developed symptoms of acromioclavicular joint deformity and pain, indicating a secondary subacute dislocation.
• Radiographic evaluation confirmed a complete acromioclavicular dislocation and a displaced coracoid process fracture.

Findings:

• Surgical intervention involved anatomical reduction and fixation of both the acromioclavicular joint and the displaced coracoid process fracture using a hook plate.
• The patient achieved complete coracoid process consolidation and anatomical alignment of the acromioclavicular joint post-surgery.
• At 12-month follow-up, the patient demonstrated regained shoulder functionality.

Implications:

• This case highlights the efficacy of hook plate fixation in managing combined coracoid process fractures and acromioclavicular dislocations.
• The presented treatment strategy offers a viable option for achieving satisfactory functional results in complex shoulder girdle injuries.
• Accurate anatomical reduction and stable fixation are crucial for restoring function and promoting healing in these challenging fractures.