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Subacute Acromioclavicular Dislocation After Basal Coracoid Process Fracture: Indirect Reduction without Open
Andres Arismendi1, Hernan Gallego2, Daniela Galeano3
1Arm and Shoulder Orthopedics, Clínica del Campestre, Medellín, Colombia.
Case:
A 55-year-old man presented with an isolated undisplaced basal coracoid process (CP) fracture after direct trauma over his right shoulder. One week later, he presented with pain and anatomical deformity over the acromioclavicular joint (ACJ). Shoulder x-rays and computerized tomography revealed a complete acromioclavicular (AC) dislocation and displaced CP fracture. Anatomical AC reduction and ipsilateral coracoid fracture reduction were obtained using fixation with a hook plate. At 12-month follow-up, the patient regained functionality and showed complete CP consolidation and anatomic alignment of the ACJ.
Conclusion:
Our alternative treatment of coracoid fracture associated with secondary subacute AC dislocation showed satisfactory functional results.
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01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History: