Article Details

Acromion pseudoarthrosis is an exceedingly rare condition, most often arising as a complication of inadequately healed acromial fractures or following surgical procedures involving the scapula. The resulting nonunion can lead to persistent shoulder pain, impaired range of motion, and functional limitations that may mimic more common shoulder pathologies, often delaying diagnosis. We present a case of symptomatic acromion pseudoarthrosis in a 46-year-old male, highlighting the clinical presentation, imaging findings, surgical management, and postoperative outcome. This report underscores the importance of maintaining a high index of suspicion for acromion nonunion in patients with chronic shoulder pain after trauma. Furthermore, it reviews the available literature and discusses the challenges in diagnosis and treatment of this uncommon but clinically significant condition.