title: Combined acromioclavicular joint dislocation and coracoid avulsion in an adult.
abstract: Avulsion fracture of coracoid process with acromioclavicular joint dislocation is extremely rare. We report a case of coracoid avulsion with acromioclavicular disruption in a 24-year-old man who sustained injuries in a road traffic accident. Although acromioclavicular (AC) dislocation was obvious from an initial radiograph, coracoid avulsion was picked up in a CT scan. Open reduction and internal fixations of the coracoid with a 4 mm cannulated screw, an AC joint with two K-wires and an anchor suture, resulted in rapid recovery. The patient had complete range of shoulder movements at the end of 3 months and he resumed his professional activities. After 1 year, he had normal shoulder movement without any functional limitations.
authors.affiliation: Department of Orthopaedics, KMC, Manipal, Manipal, India.
authors.forename: Monappa
authors.initials: M
authors.lastname: Naik
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Tripathy
authors.affiliation: Department of Orthopaedics, KMC, Manipal, Manipal, India.
authors.forename: Saumitra
authors.initials: S
authors.lastname: Goyal
authors.affiliation: Department of Orthopaedics, KMC, Manipal, Manipal, India.
authors.forename: Sarath K
authors.initials: SK
authors.lastname: Rao
mesh_terms: D000063:Accidents, Traffic; D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000328:Adult; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012783:Shoulder Dislocation / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D012784:Shoulder Fractures / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome