Fracture of the acromion. Diagnosis, treatment, results

The case of an 22-year-old man is presented, who sustained a dislocated fra cture of the left acromion process and a not dislocated fracture of the lef t scapular body with a large subcutaneous decollement as well as a dammage of nervus axillaris occuring during a traffic accident. After resuming diag nostics by means of CT, a tension banding of the ventral part of the acromi on and a plate osteosynthesis of the dorsal part was performed. 7 weeks aft er injury neurolysis of nervus axillaris has been done. 4 months after acci dent the patient shows a satisfying functional result in the Constant score . Diagnostic, treatment and functional results after operative treatment of d islocated fractures of the acromion are shown and discussed.