Background: Fracture of the acromion process is an uncommon injury, which is often diagnosed late. Though, usually managed conservatively, the indications for surgery in these fractures are very specific. The acromion is a large bony projection on the superior end of the scapula. Acromion fractures are rare injuries. They constitute 8%–16% of scapula fractures. Recently, they are seen at the rate of 5%–6.9% as the complication of reverse shoulder arthroplasty. Objective: We aimed to present a case report to highlight isolated displaced fracture of acromion process. Case report: 58 years old male, known case hypertension, presented to emergency department on 16 December 2021, after history of fall down from ladder on his left shoulder complaining of pain over left shoulder and limitation of movement. Pain was started after fall, dull in nature, not radiating to left upper limb, increased with movement and decreased with analgesia mildly. Conclusion: Acromial fractures are usually associated with other lesions of the shoulder girdle. Isolated displaced fractures of the acromion are clearly the exception to the rule.  Acromion fracture can be treated with good results with early surgical treatment and proper fixation. Surgical treatment is important to regain shoulder functions, as it enables early rehabilitation of treatment.