Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 4 4 2020 05 07 74 76 Mohammad Zarei Associate Professor, Joint Reconstruction Research Center, Imam Khomeini HospitalComplex, Tehran University of Medical Sciences, Tehran, Iran Saeed Besharati Resident, Department of Orthopedic Surgery, Joint Reconstruction Research Center,Imam Khomeini HospitalComplex,Tehran University of Medical Sciences, Tehran, Iran Alireza Moharrami Resident, Department of Orthopedic Surgery, Joint Reconstruction Research Center,Imam Khomeini HospitalComplex,Tehran University of Medical Sciences, Tehran, Iran Rasoul Ghaedi Resident, Department of Orthopedic Surgery, Joint Reconstruction Research Center,Imam Khomeini HospitalComplex,Tehran University of Medical Sciences, Tehran, Iran 2019 12 11 2020 01 23 Background: Acromion fractures are rare injuries that may occur because of shoulder trauma. This may be associated with distal clavicle fractures, which can be an indication for surgery. There are several methods, which are used for fixation of this type of fractures. Case Presentation: In this paper, we presented a 34 years old man with acromion fracture in contribution to acromioclavicular (AC) joint dislocation. We applied a new method for the fixation of this fracture. The fracture was fixed by 2 screws and AC Joint was fixed by a 4-hole hook plate. Conclusions: It is important to be aware of acromial fracture to not miss them and also for early management so that early recovery and satisfactory results can be gained.   https://jost.tums.ac.ir/index.php/jost/article/view/148 https://jost.tums.ac.ir/index.php/jost/article/download/148/132