title: Acromial stress fracture in a young wheelchair user with Charcot-Marie-Tooth disease: a case report.
abstract: : Acromial stress fractures are rare and have not been highlighted as a potential complication of wheelchair use. We report the case of a 22-year old female wheelchair bound patient with Charcot-Marie-Tooth disease who presented with a four-year history of shoulder pain which impaired mobility and quality of life. Plain radiographs showed a cortical irregularity of the acromion but no double-density sign. After CT scans a non-united acromial stress fracture was diagnosed. She had no other shoulder pathology. The new technique of using a superiorly closing wedge osteotomy with cancellous lag screw fixation was successful in correcting the mobile non-united acromial fragment and resolving her pain.
authors.affiliation: Orthopaedic Department, Glenfield Hospital, Groby Road, Leicester, Leicestershire, LE3 9QP, UK. randeep.aujla@hotmail.co.uk.
authors.forename: Randeep S
authors.initials: RS
authors.lastname: Aujla
authors.forename: Abhinav
authors.initials: A
authors.lastname: Gulihar
authors.forename: Grahame Js
authors.initials: GJ
authors.lastname: Taylor