case_images: PMC3707334_01
case_images: Posterior view of left shoulder showing extensive swelling, ecchymosis, and abrasion
case_images: IJSS-7-28-g001.jpg
case_images: PMC3707334_01_IJSS-7-28-g001.jpg
case_images: F1
case_images: Examination revealed a swollen, soft shoulder [Figure 1] with scapular and acromioclavicular (AC) joint tenderness and painful motion.
case_images: (a and b) AP and Lateral plain radiographs of Left shoulder injury demonstrating AC joint widening, acromion base fracture, scapular spine and body fracture
case_images: IJSS-7-28-g002.jpg
case_images: PMC3707334_01_IJSS-7-28-g002.jpg
case_images: F2
case_images: X-rays showed a comminuted scapular body and spine fracture extending to acromion base with AC joint widening [Figures 2a, b and 3].
case_images: 3D reconstruction CT scan of left scapula showing segmental fracture of scapular spine and extensive comminution of scapular body
case_images: IJSS-7-28-g003.jpg
case_images: PMC3707334_01_IJSS-7-28-g003.jpg
case_images: F3
case_images: X-rays showed a comminuted scapular body and spine fracture extending to acromion base with AC joint widening [Figures 2a, b and 3].
case_images: Intraoperative view after fascial release of the infraspinatus and supraspinatus
case_images: IJSS-7-28-g004.jpg
case_images: PMC3707334_01_IJSS-7-28-g004.jpg
case_images: F4
case_images: Upon release, the supraspinatus and infraspinatus compartments showed good muscle escape, beefy red coloration, adequate bleeding, and contracture with stimulation [Figure 4].
case_images: Postoperative AP shoulder plain radiograph after scapular spine and AC joint fixation
case_images: IJSS-7-28-g005.jpg
case_images: PMC3707334_01_IJSS-7-28-g005.jpg
case_images: F5
case_images: 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].