This report concerns a 19-year-old man, diagnosed with a fracture of the coracoid process associated with acromioclavicular dislocation. A combined injury of this type is rare, with only 19 cases previously reported in the literature. If an acromioclavicular dislocation is associated with unusual swelling or tenderness over the coracoid process, an axillary lateral view or anteroposterior view with the central beam angled 25 to 30 degrees cephalad should be obtained.