Journal of Shoulder and Elbow Surgery
Volume 19, Issue 7 , Pages e18-e21 , October 2010

Open reduction and internal fixation of os acromion fracture-separation as a component of a floating shoulder injury: A case report

  • Robert P. Lyons, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Robert P. Lyons, MD, Shoulder and Elbow Surgeon, Assistant Professor of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Penn State Hershey Bone & Joint Institute, 30 Hope Dr, EC089, Hershey, PA 17033.

References 

  1. Abboud JA, Silverberg D, Pepe M, Beredjiklian PK, Iannotti JP, Williams GR, et al. Surgical treatment of os acromiale with and without associated rotator cuff tears. J Shoulder Elbow Surg. 2006;15:265–270
  2. Ada JR, Miller ME. Scapular fractures. Analysis of 113 cases. Clin Orthop Relat Res. 1991;174–180
  3. Barbiera F, Bellissima G, Iovane A, De Maria M. Un caso di os acromiale determinante sindrome da impingement e rottura della cuffia dei rotatori. Radiol Med. 2002;104:359–362
  4. Edelson JG, Zuckerman J, Hershkovitz I. Os acromiale: anatomy and surgical implications. J Bone Joint Surg Br. 1993;75:551–555
  5. Fery A, Sommelet J. [Os acromiale: significance—diagnosis—pathology. Apropos of 28 cases including 2 with fracture separation]. Rev Chir Orthop Reparatrice Appar Mot. 1988;74:160–172
  6. Flatow EL, Weinstein DM, Duralde XA, Compito CA, Pollock RG, Bigliani LU. Coracoacromial ligament preservation in rotator cuff surgery. J Shoulder Elbow Surg. 1994;3:573
  7. Gohlke F, Daum P, Eulert J. The stabilizing function of the capsule of the glenohumeral joint and the corresponding role of the coracoacromial arch. J Shoulder Elbow Surg. 1994;3:524
  8. Goss TP. Double disruptions of the superior shoulder suspensory complex. J Orthop Trauma. 1993;7:99–106
  9. Herscovici D, Fiennes AG, Allgower M, Ruedi TP. The floating shoulder: ipsilateral clavicle and scapular neck fractures. J Bone Joint Surg Br. 1992;74:362–364
  10. Kavanagh BF, Bradway JK, Cofield RH. Open reduction and internal fixation of displaced intra-articular fractures of the glenoid fossa. J Bone Joint Surg Am. 1993;75:479–484
  11. Liberson F. Os acromiale—a contested anomaly. J Bone Joint Surg Am. 1937;19:683–689
  12. Richards AM, Curtis MJ. Fracture of an os acromiale with associated rupture of the coracoclavicular ligaments. J Shoulder Elbow Surg. 2008;17:e8–e11
  13. Richman N, Curtis A, Hayman M. Acromion-splitting approach through an os acromiale for repair of a massive rotator cuff tear. Arthroscopy. 1997;13:652–655
  14. Sterling JC, Meyers MC, Chesshir W, Calvo RD. Os acromiale in a baseball catcher. Med Sci Sports Exerc. 1995;27:795–799
  15. Warner JJ, Beim GM, Higgins L. The treatment of symptomatic os acromiale. J Bone Joint Surg Am. 1998;80:1320–1326
  16. Williams GR, Naranja J, Klimkiewicz J, Karduna A, Iannotti JP, Ramsey M. The floating shoulder: a biomechanical basis for classification and management. J Bone Joint Surg Am. 2001;83:1182–1187

PII: S1058-2746(10)00194-1

doi: 10.1016/j.jse.2010.04.048

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 7 , Pages e18-e21 , October 2010

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