Acromial stress fracture in a young wheelchair user with Charcot-Marie-Tooth disease: a case report.
: 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.
Aujla
Randeep S
RS
Orthopaedic Department, Glenfield Hospital, Groby Road, Leicester, Leicestershire, LE3 9QP, UK. randeep.aujla@hotmail.co.uk.
Gulihar
Abhinav
A
Taylor
Grahame Js
GJ