PMC3707334_01
Posterior view of left shoulder showing extensive swelling, ecchymosis, and abrasion
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F1
Examination revealed a swollen, soft shoulder [Figure 1] with scapular and acromioclavicular (AC) joint tenderness and painful motion.
(a and b) AP and Lateral plain radiographs of Left shoulder injury demonstrating AC joint widening, acromion base fracture, scapular spine and body fracture
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F2
X-rays showed a comminuted scapular body and spine fracture extending to acromion base with AC joint widening [Figures 2a, b and 3].
3D reconstruction CT scan of left scapula showing segmental fracture of scapular spine and extensive comminution of scapular body
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F3
X-rays showed a comminuted scapular body and spine fracture extending to acromion base with AC joint widening [Figures 2a, b and 3].
Intraoperative view after fascial release of the infraspinatus and supraspinatus
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F4
Upon release, the supraspinatus and infraspinatus compartments showed good muscle escape, beefy red coloration, adequate bleeding, and contracture with stimulation [Figure 4].
Postoperative AP shoulder plain radiograph after scapular spine and AC joint fixation
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F5
The combination of scapular spine, acromion base, and AC joint separation prompted plans for open reduction internal fixation (ORIF), which were delayed until hospital day #13 due to pneumonia [Figure 5].