Izolovaná dislokovaná zlomenina akromiálního výběžku lopatky - kazuistika

Title in English Isolated Displaced Fracture of the Acromion - Case Report

KRTIČKA Milan IRA Daniel

Year of publication 2016
Type Article in Periodical
Magazine / Source Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca
MU Faculty or unit

Faculty of Medicine

Web http://www.achot.cz/detail.php?stat=828
Field Traumatology and orthopaedic surgery
Keywords acromion fracture; scapula; osteosynthesis
Description Displaced fractures of the acromion are rare injuries. A 45-year-old lady presented with an isolated acromion fracture (type III, Kuhn classification) resulting from a direct blow to the top of her right shoulder in a fall while skiing. After standard clinical and radiological examination of the shoulder, an open reduction and internal plate fixation using a postero-superior approach to the scapula was performed. Early rehabilitation of the arm and shoulder was initiated. At 50 days after surgery the patient achieved a full range of motion in her right shoulder and muscle strength equal to that of the contralateral extremity. By 12 weeks radiographic union of the fracture was recorded. The final functional outcome after open reduction and internal plate fixation of the fracture was comparable with results reported in the literature and, in comparison with conservative treatment, the risk of non-union was significantly reduced.

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