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Neglected Acromion Fracture Causing Chronic Post-traumatic Shoulder Pain - A Case Report
Sivabalaganesh Amirthalingam1, Sundar Suriyakumar1, J K Giriraj Harshavardhan1
1Department of Orthopaedic, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Journal of Orthopaedic Case Reports
|March 6, 2023
Summary
This case report details a missed acromion fracture causing chronic shoulder pain. Surgical fixation successfully relieved pain and improved function in a patient with this uncommon injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Acromion fractures are frequently overlooked injuries.
- Non-union of acromion fractures can lead to persistent shoulder pain and dysfunction.
Observation:
- A 48-year-old male presented with chronic shoulder pain 8 months post-injury.
- Diagnosis revealed an old, non-united, missed acromion fracture.
Findings:
- Surgical fixation of the non-united acromion fracture was performed.
- The patient experienced pain relief and improved function at 6-month follow-up.
Implications:
- Highlights the challenges in diagnosing missed acromion fractures.
- Demonstrates the efficacy of surgical intervention for chronic pain from non-united acromion fractures.
- Suggests internal fixation as a viable treatment for functional recovery.

