Acromion Fracture Diagnostic Imaging and Treatment

Initial Diagnostic Evaluation

• Radiographic imaging, including anteroposterior views in internal and external rotation plus an axillary or scapula-Y view, is the essential first step for any suspected acromion fracture following shoulder trauma, as recommended by the American College of Radiology 1, 2
• Axillary views are critical as they prevent misclassification of shoulder injuries that can be missed on AP views alone, according to the American College of Radiology 1
• CT imaging better characterizes fracture patterns when surgical planning is needed, as stated by the American College of Radiology 1

Common Pitfalls

• The American College of Radiology recommends obtaining complete radiographic series, including axillary views, to avoid delayed diagnosis in polytrauma settings 1