Use of Distal Clavicle Autograft in the Treatment of Os Acromiale Open Reduction Internal Fixation

Abstract

Case: We present a case of a 21-year-old male patient with a symptomatic os acromiale treated with open reduction internal fixation with distal clavicle autograft. The patient presented with right shoulder pain after a motor vehicle accident with tenderness over the acromion. Radiographs demonstrated an os meso-acromion with corresponding edema on Magnetic Resonance Imaging (MRI). The patient recovered uneventfully with radiographic fusion at 8 months of the os acromiale site. Conclusion: This case used the excised distal clavicle as autograft. This technique has the added advantage of harvesting autograft from the same surgical approach and potential mechanical advantage of offloading the os acromiale site to promote healing.