case_images: PMC10837692_01
case_images: (A) Shoulder anteroposterior and (B) scapular Y radiographs, showing a displaced bony fragment from the acromion, occupying the subacromial space.
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case_images: Shoulder anteroposterior and scapular Y radiographs showed a displaced bony fragment from the acromion, occupying the subacromial space (Fig. 1).
case_images: (A) Preoperative sagittal plane MRI showing an inferior displaced type-I Salter-Harris physeal fracture (arrow) with subacromial space occupation. (B) Preoperative axial plane MRI showing anterior displacement of the acromial fragment (arrow). MRI, magnetic resonance imaging.
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case_images: Further assessment with MRI confirmed an isolated anteroinferior displaced type-I Salter-Harris physeal fracture with subacromial space occupation (Fig. 2).
case_images: Superior view of the acromion revealing an anteroinferior displaced meso-acromion physeal injury (arrow). P, posterior; M, medial; A, anterior; L, lateral.
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case_images: A direct open approach to the acromion was carried out, revealing an anteroinferior displaced meso-acromion physeal injury (Fig. 3).
case_images: Superolateral view of surgical fracture fixation with 2 parallels anteroposterior K-wire-guided 3.5-mm cannulated resorbable poly lactic-co-glycolic acid screws.
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case_images: Fixation was then achieved with 2 parallel anteroposterior K-wire-guided 3.5-mm cannulated resorbable poly lactic-co-glycolic acid (PLGA) screws (ActivaScrew; Bioretec, Tampere, Finland) (Fig. 4).
case_images: (A) Three-month postoperative shoulder anteroposterior and (B) scapular Y radiographs showing fracture healing and bone bridging between the epiphysis and metaphysis.
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case_images: At each visit, radiograph control was performed, and a postoperative MRI was conducted at the 3-month visit, revealing well-positioned screws and physeal ossification with bone bridging between the epiphysis and metaphysis (Figs. 5 and 6).
case_images: Three-month postoperative coronal plane MRI, showing well-positioned screws and physeal ossification (arrows) with bone bridging between the epiphysis and metaphysis (dotted arrow). MRI, magnetic resonance imaging.
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case_images: fig6
case_images: At each visit, radiograph control was performed, and a postoperative MRI was conducted at the 3-month visit, revealing well-positioned screws and physeal ossification with bone bridging between the epiphysis and metaphysis (Figs. 5 and 6).