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1 The fracture involves the frontal, lateral, and transverse planes. 2  It extends sagittally through the epiphysis, transversely through the epiphyseal plate and coronally through the distal tibial metaphysis. 3  Occurs in older children/young adolescents in 18 months just prior to epiphyseal plate closure (about 12-15 years).
Of the type-I fractures, 36 were at the. base of the process and 17 involved the upper quarter or third. of the glenoid. The type-II fractures were at the tip of the. process or at the insertion of the tendon of pectoralis minor. Acromioclavicular dislocation was the most common. associated lesion, seen in 60 of the 67 patients (Table I). Lacerations or abrasions over the posterolateral or lateral. deltoid were seen in 15 patients.