PMC6742863_01
Pre-operative X-ray and computed tomography scan showing acromion fracture, coracoid fracture, and lateral end clavicle fracture.
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F1
A pre-operative computed tomography scan with three-dimensional reconstruction was taken to confirm the diagnosis and help in pre-operative planning for surgical management (Fig. 1).
Intraoperative picture showing the incision, exposure, acromion plate, coracoid screw, and tension band wiring clavicles.
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F2
The acromion fracture was initially addressed and fixed after anatomic reduction using a locking plate (Fig. 2).
Post-operative range of motion at 6-month follow-up.
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F3
At the end of 6 months, the patient had painless full ROM (Fig. 3) and the patient documented near total functional recovery after a follow-up of 1 year and recorded a constant shoulder score of 87 at last follow-up(Fig. 4).