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Case report: Bilateral infantile acromion fractures in the setting of congenital glenoid dysplasia

Year: 2026

Type: article

Abstract: We report a rare case of a 5-week-old male who presented with isolated acromion fractures occurring bilaterally 10 days apart. As scapular fractures are a high-specificity fracture for abusive injury, these findings were concerning for child abuse. The patient was later diagnosed with congenital glenoid dysplasia. Given this diagnosis with an otherwise normal medical evaluation for physical abuse, this case was deemed indeterminate for abusive injury. The multidisciplinary team consensus was that the injuries were likely fractures resulting from restriction of normal range of glenohumeral motion caused by his glenoid deformity. Literature on congenital glenoid dysplasia is limited in the pediatric population. This case highlights the need for further investigation into early presentations of congenital glenoid dysplasia and its association with acromion fractures.

Source: Pediatric Radiology

DOI: 10.1007/s00247-026-06802-z

Authors: Molly Crosswell, Kelley Marshall Johnson, Amanda Small, Kenneth W. Martin, Mary-Fran R. Crosswell

Institutions: Children's Healthcare of Atlanta, Prisma Health, University of South Carolina, St. Christopher's Hospital for Children

Language: English

Topic: Child Abuse and Related Trauma

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,190