Triple injury to the superior shoulder suspensory complex

The superior shoulder suspensory complex is a key structure in maintaining the biomechanics of the shoulder. Injuries to this complex, depending on their severity, usually require surgical intervention. Although double disruption of this structure has been well documented, cases of triple disruption have been relatively rare as only three case reports have been published in the literature. We report a 44-year-old man who suffered such an injury involving fractures of the coracoid process and acromion combined with dislocation of the acromioclavicular joint. This patient then underwent surgical intervention via open reduction and internal fixation. After 6 months of follow-up, radiographs revealed proper reduction and alignment of the scapuloclavicular connection. The patient was asymptomatic; he could move his shoulder freely and achieve a full range of motion. Triple injury to this structure definitely warrants surgical intervention. As presented, reduction and fixation aimed at reconstruction and restoration of the three aforementioned structures was performed with a good functional result and satisfactory outcome.