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Operative Fixation of a Lateral Acromion Fracture in a Native Shoulder Using Nice Knot Suture Cerclage
Journal article   Open access   Peer reviewed

Operative Fixation of a Lateral Acromion Fracture in a Native Shoulder Using Nice Knot Suture Cerclage

Garrett V. Christensen, Cory J. Call, Michael C. Marinier, Reilly T. Corken, Maria F. Bozoghlian, Carter Lane, James V. Nepola, Brendan M. Patterson and Joseph W. Galvin
Arthroscopy techniques (Amsterdam), e70070
07/19/2026
DOI: 10.1002/atn2.70070
PMID: 42499867
url
https://doi.org/10.1002/atn2.70070View
Published (Version of record) Open Access

Abstract

Acromion fractures are challenging injuries to manage. Nonoperative treatment for nondisplaced fractures can yield satisfactory outcomes for most patients. Displaced acromion fractures can be difficult to manage given the vector of displacement and limited bone for fixation. There is no consensus on surgical approach to these fractures as they are rare. Acromion fractures in native shoulders are rarer as most acromion fractures are secondary to altered mechanics and decreased bone mineral density following reverse shoulder arthroplasty. The acromion is a thin and flat bone making plate and screw fixation challenging. This technical note describes a technique for open reduction and internal fixation of a lateral acromion fracture in a native shoulder utilizing Nice knot suture cerclage. © 2026 WILEY‐VCH GmbH
Fracture (Shoulder) Shoulder Technical Note UIOWA OA Agreement

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