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Acromion Fractures

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Orthopaedic Sports Medicine

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Abstract

Acromion fractures are an uncommon injury of the shoulder girdle than can result from direct trauma to the shoulder or indirect muscular forces resulting in avulsions. A gold standard for the management of these injuries has not been very well established in the literature. Conservative management for nondisplaced fractures and/or low demand patients has resulted in good outcomes. Open reduction internal fixation has been advocated for displaced acute fractures and symptomatic nonunion. To achieve a stable construct that will withstand the deforming forces of the acromion, five fixation principles should be applied: (1) lag screw compression, (2) tension band, (3) biplanar fixation, (4) long working length, and (5) locked angle fixation. These principles when applied correctly will allow for successful healing and good outcomes for patients that sustained acromion fractures.

Financial Disclosures

Peter A. Cole, MD

PA Cole reports research grants from DepuySynthes, Stryker and KLS Martin; education grants from COTA, AONA, OMeGA, Stryker, Zimmer-Biomet, Acumed, DepuySynthes, and KLS Martin; personal fees from AO foundation, Exactech, J&J DepuySynthes and KLS Martin; other from BoneFoams, Inc outside of reported work.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, St. Paul, MN, USA

    Luis F. Carrazana-Suarez & Peter A. Cole

Authors
  1. Luis F. Carrazana-Suarez
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  2. Peter A. Cole
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Corresponding author

Correspondence to Luis F. Carrazana-Suarez .

Editor information

Editors and Affiliations

  1. Espregueira-Mendes Sports Centre, Clínica do Dragão, Porto, Portugal

    João Espregueira-Mendes

  2. Dept. Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden

    Jón Karlsson

  3. UPMC Freddie Fu SportsMed Ctr, Orth Surg, University of Pittsburgh, Pittsburgh, PA, USA

    Volker Musahl

  4. McMaster University, Hamilton, ON, Canada

    Olufemi R. Ayeni

Section Editor information

  1. Department of Medical Surgical Sciences, University of Milano, IRCCS Policlinico San Donato, Milan, Italy

    Pietro Randelli

  2. Universidade Federal de São Paulo- Centro de Traumatologia do Esporte, São Paulo - SP, Brasil

    Carina Cohen

  3. Universidad Autónoma, Madrid, Madrid, Spain

    Emilio Calvo

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Carrazana-Suarez, L.F., Cole, P.A. (2023). Acromion Fractures. In: Espregueira-Mendes, J., Karlsson, J., Musahl, V., Ayeni, O.R. (eds) Orthopaedic Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-65430-6_3-1

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  • DOI: https://doi.org/10.1007/978-3-030-65430-6_3-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-65430-6

  • Online ISBN: 978-3-030-65430-6

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