Anterior Shoulder Instability in a Young Individual with Concomitant Coracoid Process Fracture Treated with the Latarjet Procedure – A Rare Case Report

Abstract

Introduction: Coracoid fracture occurs with shoulder instability due to direct humeral head impaction. Incidence coracoid fracture with shoulder dislocation is rare amounts to 0.8–2%. We encountered clinical challenge of unique combination of both shoulder instability and coracoid fracture. This technical note will describe the treatment of the same. Case ReportA 23-year-old male suffering from recurrent shoulder dislocation sustained coracoid fracture. Further evaluation showed glenoid defect of 25%. Magnetic resonance study showed on track lesion with Hill-Sach lesion of 9 mm, labral defect anteriorly with no associated rotator cuff tear. The patient was managed with open Latarjet procedure with fracture coracoid fragment with conjoint tendon as graft. Conclusion: Our purpose of reporting this technical note is to provide an option of dealing both instability and coracoid fracture in single sitting and usage of coracoid fractured fragment as an excellent graft of choice in acute presentation. However, certain limitations such as adequacy of graft in size and shape do exist operating surgeon which must be aware of the same. Keywords: Coracoid fracture, chronic shoulder instability, fractured coracoid graft, Latarjet procedure.