Article Text

Download PDFPDF
Tension band suture technique for the fixation of a displaced posterolateral acromion process fracture with subacromial impingement
  1. Jiakun Yu1,
  2. William Wynell-Mayow2,
  3. Quen Tang2 and
  4. Victor Babu3
  1. 1School of Medicine, Faculty of Medicine, Imperial College London, London, UK
  2. 2Trauma and Orthopaedics, West Middlesex University Hospital NHS Trust, London, UK
  3. 3Surgery, West Middlesex University Hospital NHS Trust, Isleworth, UK
  1. Correspondence to Mr Jiakun Yu; jiakun.yu16{at}


An adult old cyclist presented to our hospital and was referred to the orthopaedic department with a left shoulder posterolateral acromion avulsion fracture and subacromial impingement demonstrated on X-ray and CT. This highly unusual fracture pattern was treated by open reduction and internal fixation with cannulated screws and a tension band suture technique. This fracture went onto successful union with full range of motion and good patient-reported outcome measures by the Oxford Shoulder Score at 3 months. Informed consent was taken for the following case report.

  • trauma
  • orthopaedics
  • orthopaedic and trauma surgery

Statistics from


  • Contributors QT performed the surgery. WW-M conducted follow-up appointments with the patient and recorded all relevant findings. JY and WW-M completed the main manuscript. QT contributed to the final version of the manuscript. VB supervised the findings of this work. All authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.