Clin Should Elbow.  2013 Dec;16(2):130-134.

Treatment of Pseudoarthrosis due to Nonunion of the Acromial Fracture with LCP: Case Report

• Kim YM
• Park KJ
• Kim DS
• Choi ES
• Shon HC
• Cho BK
• Park JK
• Keum SW
• Jeong HS

Abstract

A painful pseudoarthrosis will develop due to a delay in diagnosis and treatment, and surgical care is required. Treatment of pseudoarthrosis is really difficult because the acromion is a thin flat bone that is difficult to be fixed firmly. A 52-year-old woman with multiple trauma had an acromial fracture that was not detected until it had caused pain after ambulation. Open reduction and internal fixation with a variable angle locking compression plate for distal radius and autogenous iliac bone graft were performed. At nine months after the operation, there was partial tear in the supraspinatus tendon, and arthroscopic repair of the supraspinatus tendon was performed. At nine months after the operation, radiographs showed a complete union. At three months after tendon repair, the patient had excellent function of the shoulder. We have reported a case of a successful treatment of nonunion and pseudoarthrosis of acromial fracture that is difficult to be fixed.

MeSH Terms

Acromion
Diagnosis
Female
Humans
Middle Aged
Multiple Trauma
Pseudarthrosis*
Radius
Shoulder
Tendons
Transplants
Walking