Work

Quadruple superior shoulder suspensory complex injury with bony Bankart lesion: a case report

Year: 2026

Type: article

Abstract: We present a 37-year-old male with a quadruple injury of the superior shoulder suspensory complex (SSSC), comprising acromial fracture, coracoid process fracture, acromioclavicular joint dislocation, and bony Bankart lesion, following a 3-meter fall. Multimodal imaging (X-ray, 3D-CT, MRI) enabled precise diagnosis. A sequential surgical strategy—open reduction and internal fixation for bony ring reconstruction followed by arthroscopic Bankart repair—was performed under an Enhanced Recovery After Surgery (ERAS) protocol. At 6-month follow-up, the Constant-Murley score improved from 28 to 86, VAS pain score dropped from 8 to 1, and shoulder range of motion improved significantly. This case demonstrates that an integrated approach combining biomechanical reconstruction, minimally invasive intra-articular repair, and multidisciplinary perioperative care can achieve excellent functional outcomes in complex SSSC injuries.

Source: BMC Musculoskeletal Disorders

DOI: 10.1186/s12891-026-10489-6

Authors: Zixian Zhou, Fengchen Zhu, Chao He, Chunfeng Cao, Feng Wang, Minghua Zhang

Institutions: The Affiliated Yongchuan Hospital of Chongqing Medical University, Chongqing Medical University

Language: English

Topic: Shoulder Injury and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,090