Avulsion fracture of the superior border of the scapula. Report of five cases.

Ishizuki, Masafumi; Yamaura, Ichiro; Isobe, Yasuyuki; Furuya, K.; Tanabe, K.; Nagatsuka, Yoshitaka

doi:10.2106/00004623-198163050-00019

Cited by 35 publications

(21 citation statements)

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“…We searched for all English-language case reports of this kind of injury in the PubMed database and found 9 cases that were treated with surgeries (Table I). 2,3,10,12,15,18,19,22,23 In 8 of these cases, the AC joint was fixed, 4 of which also had the coracoid fixed. Besides the AC joint, our patient had the coracoid process repaired, because of displacement of more than 2 mm with glenoid involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is recommended for coracoid fractures associated with a grade III AC dislocation, and several surgical methods have been proposed, including transarticular screws, Knowles pins, and tension-band wiring. 2,3,10,12,15,18,19,22,23 However, all of them have been associated with problems such as pin migration, loss of reduction, AC joint degeneration, and osteoarthritis. 1,13,20 Obviously, a CC screw or CC ligament reconstruction was not suitable for this injury.…”

Section: Discussionmentioning

confidence: 99%

“…To date, several surgical techniques involving transarticular screws, Knowles pins, and tension-band wiring have been used to treat coracoid fracture associated with AC dislocation. 2,3,10,12,15,18,19,22,23 However, these methods have considerable risks for complications, such as pin migration, loss of reduction, AC joint degeneration, and ankylosis. 1,13,20 We carried out an electronic search of the PubMed database and found no articles recommending the use of a clavicular hook plate for coracoid fractures associated with AC dislocation.…”

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confidence: 99%

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Treatment of coracoid process fractures associated with acromioclavicular dislocation using clavicular hook plate and coracoid screws

Duan¹,

Zhang²,

Zhang³

et al. 2010

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Treatment of coracoid process fractures associated with acromioclavicular dislocation using clavicular hook plate and coracoid screws

Duan¹,

Zhang²,

Zhang³

et al. 2010

Journal of Shoulder and Elbow Surgery

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“…The only report on chronic double disruption of the SSSC including coracoid fracture has been by Ishizuki et al, 11 documenting results of the Dewar-Barrington procedure in patients associated with acromioclavicular dislocation. In type I coracoid fractures, the fractured fragment suspended by the coracoclavicular and coracoacromial ligaments is pulled downward by the conjoint tendon inserted at its tip, so that the tip of the coracoid is rotated and displaced infero-lateroposteriorly.…”

Section: Discussionmentioning

confidence: 99%

Defining Impairment and Treatment of Subacute and Chronic Fractures of the Coracoid Process

Ogawa

Ikegami

Takeda

et al. 2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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In the overlooked and untreated type I fracture with persistent pain and functional impairment, reduction and fixation of the coracoid fracture aimed at reconstruction of the firm scapuloclavicular connection and structural restoration of the coracoacromial arch results in gratifying outcomes. In the cases of type II fracture, conservative treatment is indicated. When presenting with atypical manifestations of subcoracoid impingement, releasing of the coracoacromial ligament proves effective.

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“…Am häu-figsten liegt ein direktes Trauma zugrunde [4,6,7,12].Aber auch durch indirekte Traumata kann eine Korakoidfraktur verursacht werden. Häufigste Ursache hierfür sind Avulsionsverletzungen im Rahmen einer akromioklavikularen Luxation [3,4,6,9,10,11,13,14].…”

Section: Diskussionunclassified

Korakoidpseudarthrose nach Fraktur des Processus coracoideus bei anteriorer Schulterluxation

et al. 2002

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Fractures of the coracoid process are rare and represent only 2-5% of all fractures of the scapula. The most frequent cause of a coracoid fracture is direct trauma, but indirect trauma may also lead to a fracture of this kind. Avulsion injuries as part of an acromioclavicular dislocation are the most frequent forms of trauma. For the rare cases of an anterior shoulder dislocation with concomitant coracoid fracture, two different mechanism are discussed. One cause of the coracoid fracture could be direct impact of the dislocated head of the humerus on the coracoid process, another may be the occurrence of a sudden strong pull of the muscles inserting at the coracoid process during shoulder dislocation.In the majority of cases, conservative treatment with six weeks of immobilization is appropriate. If a pseudarthrosis occurs and there is persistent pain, we recommend the operative fixation of the distal coracoid fragment by insertion of cancellous bone graft taken from the iliac crest and stabilization with a cannulated AO titanium small fragment screw and PDS cord.

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Avulsion fracture of the superior border of the scapula. Report of five cases.

Cited by 35 publications

References 0 publications

Treatment of coracoid process fractures associated with acromioclavicular dislocation using clavicular hook plate and coracoid screws

Treatment of coracoid process fractures associated with acromioclavicular dislocation using clavicular hook plate and coracoid screws

Defining Impairment and Treatment of Subacute and Chronic Fractures of the Coracoid Process

Korakoidpseudarthrose nach Fraktur des Processus coracoideus bei anteriorer Schulterluxation

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