Superior shoulder suspensory complex fracture dislocation case report

• Published in: Radiography (London, England. 1995) Vol. 23; no. 3; pp. e68 - e71
• Main Authors: Lidgett, T, Bate, E, Pittock, L
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.08.2017
• Subjects: Acromioclavicular; Acromioclavicular Joint - diagnostic imaging; Acromioclavicular Joint - injuries; Bicycling - injuries; Case report; Coracoid; Dislocation; Fracture; Fracture Fixation, Internal - methods; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Radiology; Shoulder Dislocation - diagnostic imaging; Shoulder Dislocation - surgery; Superior shoulder suspensory complex; Superior shoulder suspensory complex; Case report; Coracoid; Fracture; Acromioclavicular; Dislocation
• ISSN: 1078-8174; 1532-2831
• DOI: 10.1016/j.radi.2017.03.002

Abstract Background Acromioclavicular joint dislocation can be more complex than it first appears. The presented case had an unusual combination of injuries to the superior shoulder suspensory complex, which yielded some interesting learning points. Case summary The injuries were sustained after a fall from a push bike and included acromioclavicular dislocation with coracoid process, clavicle and acromion process fractures. These were identified on the initial X-ray examination, which was followed by computed tomography for surgical planning. The injuries were successfully treated by internal fixation. Conclusion The unexpected complexity of the injuries could have led to subtle but important findings being overlooked. This case highlights the importance of a thorough search strategy, consideration of injury biomechanics and knowledge of associated injuries.