A distal clavicle fracture, as a single fracture, has been reported frequently in the literature. However, combined anterior shoulder dislocations with fracture of the coracoid or acromion is very rare. Fracture of the coracoid or the acromion are even uncommon, represent 3-5% and 9-12% of scapular fractures respectively, which account for 1 perecnt of all fractures. Combined anterior shoulder dislocations with distal end clavicle or glenoid rim fractures are also rare. We observed the concurrent quadruple lesion: fracture of acromion, distal end of clavicle, distal coracoid and glenoid rim associated with anterior shoulder dislocation. To our knowledge, this combined injury has not been reported previously in the literature. Therefore, We presented the proposed mechanism of injury, course of treatment, and its clinical outcome with brief review of literature.