Case report of a fracture of the base of the acromion in association with mal-union of the clavicle

  • M. de la Caffinière
  • M. Merle


Isolated acromial fractures are very rare in practical traumatology. Acromion fractures are usually due to violent trauma, associated with other serious lesions. Following observation of a clinical case of a fracture at the base of the acromion associated with a mal-union of the ipsi-lateral clavicle, the authors have reviewed the literature of isolated acromial fractures. The clinical observation reported here confirms the involvement of the claviculo-scapular system in the production of these fractures.

Key words

Fatigue fracture Acromial fracture 


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  1. 1.
    Baulot E, Grammont PM, Goudet P, Trouilloud P (1996) Clavicles osteotomies and glenoid orientation. An anthropological and experimental study. J Shoulder Elbow Surg 5: (abstr no 185)Google Scholar
  2. 2.
    Crespi M (1960) Fratture isolate dell'acromion. Archiv Ortopedica 73: 694–699Google Scholar
  3. 3.
    Dennis DA, Ferlick DC, Claten ML (1986) Acromial stress fracture associated with cuff tear arthropathy. J Bone Joint Surg [Am] 68-A: 937–940Google Scholar
  4. 4.
    Di Fulio N, Chiletti L (1964) Le fratture isolata dell'acromion. Chir Ital 16: 1002–1020Google Scholar
  5. 5.
    Duncker F, Brandenburg AH (1927) Acromionverletztungen. Zentralbl Chirurg 54: 1233–1237Google Scholar
  6. 6.
    Gagey O, Curey JP (1984) Les fractures récentes de l'omoplate. A propos de 43 cas. Rev Chir Orthop 6: 443–447Google Scholar
  7. 7.
    Goss TP (1993) Double disruption of the superior shoulder suspensory complex. J Orthop Trauma 7: 99–106CrossRefPubMedGoogle Scholar
  8. 8.
    Kapandji IA. Physiologie articulaire. Tome 1. Membre supérieur. Maloine, ParisGoogle Scholar
  9. 9.
    Liberson F (1937) Os acromiale, a contested anomaly. J Bone Joint Surg 19: 683–689Google Scholar
  10. 10.
    Mac Gahan JP, Rab GT, Dublin A (1980) Fractures of the scapula. J Trauma 20: 880CrossRefGoogle Scholar
  11. 11.
    Matheson GO, Clement DB, Mac Kenzie DC, et al (1987) Stress fractures in athletes: a study of 320 cases. Am J Sports Med 15: 46–57CrossRefPubMedGoogle Scholar
  12. 12.
    Mencke JB (1914) The frequency and significance injuries of the acromion process. Ann Surg 59: 233–238CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Mugikura S, Hirayama T, Tada H, et al (1993) Avulsion fracture of the scapular spine: A case report. J Shoulder Elbow Surg 2: 39–42CrossRefPubMedGoogle Scholar
  14. 14.
    Nick CA, Wieland AJ (1983) Pseudarthrosis of a fracture of the acromion. J Trauma 23: 248–249CrossRefGoogle Scholar
  15. 15.
    Stanley D, Trowbridge EA, Norris SH (1988) The mechanism of clavicular fracture: a clinical and biomechanical analysis. J Bone Joint Surg [Br] 70-B: 461–464Google Scholar
  16. 16.
    Veluvolu P, Kohn HS, Guten GN, et al (1988) Unusual stress fracture of the scapula in a jogger. Clin Nuclear Med 13: 531–532CrossRefGoogle Scholar
  17. 17.
    Warner JJP, Port J (1994) Stress fracture of the acromion. J Shoulder Elbow Surg 3: 262–265CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • M. de la Caffinière
    • 1
  • M. Merle
    • 1
  1. 1.Service de Chirurgie Plastique et Reconstructrice de l'Appareil LocomoteurHôpital Jeanne d'Arc, C.H.U de NancyToul CedexFrance

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