Tension band suture technique for the fixation of a displaced posterolateral acromion process fracture with subacromial impingement

An adult old cyclist presented to our hospital and was referred to the orthopaedic department with a left shoulder posterolateral acromion avulsion fracture and subacromial impingement demonstrated on X-ray and CT. This highly unusual fracture pattern was treated by open reduction and internal fixat...

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Bibliographic Details
Published in:BMJ case reports 2021-03, Vol.14 (3), p.e242006
Main Authors: Yu, Jiakun, Wynell-Mayow, William, Tang, Quen, Babu, Victor
Format: Article
Language:English
Subjects:
Acromion - diagnostic imaging
Acromion - surgery
Adult
Biomechanics
Case Report
Case reports
Fracture Fixation, Internal
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Joint replacement surgery
Joint surgery
Medical imaging
Pain
Range of motion
Shoulder
Shoulder Impingement Syndrome - diagnostic imaging
Shoulder Impingement Syndrome - surgery
Stainless steel
Suture Techniques
Sutures
Trauma
Treatment Outcome
Wire
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Summary:An adult old cyclist presented to our hospital and was referred to the orthopaedic department with a left shoulder posterolateral acromion avulsion fracture and subacromial impingement demonstrated on X-ray and CT. This highly unusual fracture pattern was treated by open reduction and internal fixation with cannulated screws and a tension band suture technique. This fracture went onto successful union with full range of motion and good patient-reported outcome measures by the Oxford Shoulder Score at 3 months. Informed consent was taken for the following case report.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-242006