Case Report


An isolated traumatic acromion fracture, an uncommon injury

,  ,  ,  

1 Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, Maryland, USA

2 Department of Doctoral Nursing, Lourdes University, Sylvania, Ohio, USA

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Adam C Richardson

Department of Emergency Medicine, University of Maryland, 110 S Paca Street, 6th Floor, Suite 200, Baltimore, Maryland 21201,

USA

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Article ID: 100016Z14KB2019

doi: 10.5348/100016Z14KB2019CR

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How to cite this article

Blosser KM, Schroeder LM, Marzec BJ, Richardson AC. An isolated traumatic acromion fracture, an uncommon injury. J Case Rep Images Orthop Rheum 2019;4:100016Z14KB2019.

ABSTRACT


Introduction: Isolated acromion fractures are rare. Even though treatment is relatively straight forward and not always operative, clinicians should be sure to be aware of them when evaluating upper extremity trauma as missed diagnosis could lead to painful and disabling symptomatic malunion.

Case Report: A 49-year-old male presented to the emergency department (ED) complaining of left shoulder pain after falling off of his bicycle and landing on his left shoulder two days prior to presentation. He reported limitation of his range of motion and pain worsened by movement. X-rays revealed an acute minimally displaced fracture of the left acromion.

Conclusion: Do not miss acromion fractures. Many clinicians who evaluate and treat patients in acute encounters do not have the luxury of real time radiologist assistance when interpreting their imaging. Subtle and/ or rare fractures are more likely to be missed in the initial encounter and missed fractures have obvious clinical and medicolegal implications for all involved.

Keywords: Isolated acromion fracture, Rare injury, X-ray

SUPPORTING INFORMATION


Author Contributions

Kelly M Blosser - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Lauren M Schroeder - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Bradley J Marzec - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Adam C Richardson - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Source of Support

None

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 Kelly M Blosser et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.