Acromial stress fracture in a young wheelchair user with CMT disease: A case rep

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Acromial stress fracture in a young wheelchair user with Charcot-

Marie-Tooth disease: A case report

http://7thspace.com/headlines/298885/acromial_stress_fracture_in_a_you

ng_wheelchair_user_with_charcot_marie_tooth_disease_a_case_report.html

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

Credits/Source: Cases Journal 2008, 1:359