Acromial stress fracture in ayoung wheelchair user with Charcot-Marie-Tooth disease: A case report

Acromial stress fractures are rare and have not been highlighted as a potential complication of wheelchair use. We report the case of a 22-year old female wheelchair bound patient with Charcot-Marie-Tooth disease who presented with a four-year history of shoulder pain which impaired mobility and quality of life.

Plain radiographs showed a cortical irregularity of the acromion but no double-density sign. After CT scans a non-united acromial stress fracture was diagnosed.

She had no other shoulder pathology. The new technique of using a superiorly closing wedge osteotomy with cancellous lag screw fixation was successful in correcting the mobile un-united acromial fragment and resolving her pain.

Author: R S Aujla, A Gulihar and G JS Taylor
Credits/Source: Cases Journal 2008, 1:359

Published on: 2008-11-29

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