Complex Scapulothoracic Disruption Managed with Scapular Dual Column Plating and Acromion Tension Band Osteosynthesis: A Radiological and Functional Success Story

This case highlights the importance of anatomical fixation in restoring both scapulothoracic and glenohumeral mechanics. Dual-column plating provided stable scapular reconstruction, while acromial fixation ensured deltoid reattachment and preservation of shoulder abduction. The combined approach yielded a favorable clinical outcome in a rare injury pattern and was successfully delivered free of cost under a government-funded healthcare scheme. Biomechanically sound surgical constructs and guided post-operative rehabilitation are a key to optimal recovery in such complex injuries.