Fractures of the Coracoid Process

Goss, Thomas P.

doi:10.1302/0301-620x.79b4.0790694

Cited by 6 publications

(2 citation statements)

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“…79 Coracoid process fractures are more rare with injuries occurring in between 3% and 13% of shoulder dislocation patients. 80,81 This type of fracture is commonly found in association with acromioclavicular separations and clavicle fractures. 82,83 Nerves The most commonly injured nerve in the setting of anterior shoulder dislocation is the axillary nerve, ranging between 5% and 54% of dislocation patients.…”

Section: Osseous Injuriesmentioning

confidence: 99%

MR Imaging of the Shoulder: First Dislocation versus Chronic Instability

Gyftopoulos

Bencardino

Palmer

2012

Semin Musculoskelet Radiol

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Traumatic dislocation of the shoulder is a frequent injury in the young and active population. An acute shoulder dislocation often denotes a onetime traumatic episode, whereas chronic shoulder instability indicates multiple recurrent dislocations. Imaging, in particular MRI, is a useful tool that can accurately demonstrate the typical soft tissue and osseous markers of shoulder dislocation. However, the ability to differentiate between first time versus recurrent dislocation based on imaging remains in question. In this article, we describe the underlying biomechanics of glenohumeral stability as well as the imaging features and treatment options of shoulder dislocation. A review of current literature is presented, aimed to shed light about the potential role of imaging in distinguishing first dislocation versus chronic instability.

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Section: Osseous Injuriesmentioning

confidence: 99%

MR Imaging of the Shoulder: First Dislocation versus Chronic Instability

Gyftopoulos

Bencardino

Palmer

2012

Semin Musculoskelet Radiol

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“…The prevalence of 16% of bony lesions of the anterior glenoid in first-time shoulder dislocation has been reported to be 16% [10]. While conservative treatment can be advocated for undisplaced fractures with centered humeral head, surgery has usually been recommended for dislocated fractures (> 4 mm) with a decentered joint or for cases with relevant concomitant injuries [8,13]. Open surgical procedures using screw fixation have long been the standard of care despite the extensive soft tissue trauma of open approaches including detachment of the subscapularis tendon [22].…”

Section: Introductionmentioning

confidence: 99%

A novel arthroscopic transosseous suture-button fixation technique for anterior glenoid fractures

et al. 2022

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Background This study evaluated the clinical and radiological results of a new transosseous suture-button fixation technique for anterior glenoid fractures. Methods From March 2017 to May 2021, 23 patients with anterior glenoid fractures were treated with the new technique. Demographic data, active shoulder function, and several shoulder scores were evaluated after a minimum of 6 months. Fracture reduction and button placement were assessed via computed tomography, while fracture healing and onset or progression of glenohumeral osteoarthritis were evaluated with X‑rays. Results Overall, 57% of the patients had relevant concomitant intra-articular injury. Clinical follow-up was performed for 22 patients (19 male, 3 female) at 15 months (6.0–34.5) after surgery. The average Constant Score was 83.2 ± 16.7 points (93.4% ± 18.8% vs. the contralateral side), the Rowe Score, 90.7 ± 10.4 points, the Melbourne Instability Shoulder Score (/100), 88.3 ± 14.5 points, the Western Ontario Shoulder Instability Index (%), 82.9 ± 16.7, and the Subjective Shoulder Value (%), 86.9 ± 16.1. Average range of motion was 171.4 ° ± 22.7 ° of flexion (contralateral side, 180 ° ± 0 °; p = 0.11) and 170.5 ° ± 23.6 ° of abduction (contralateral side, 179.6 ± 2.1; p = 0.07). No complications occurred and no revision surgery was required. The postoperative step-off of the glenoid averaged 1.55 ± 1.05 mm (0–4 mm). Radiological follow-up of 19 patients showed fracture consolidation in all cases, without secondary dislocation of the fracture or of heterotopic ossification. There was no sign hardware impingement or dislocation. There was new-onset osteoarthritis in 3 cases (15.8%). We found no correlation between the step-off and radiological signs of osteoarthritis. Conclusion Anterior glenoid fractures were treated safely and reproducibly with the novel arthroscopic double-button-suture technique, but long-term results are still needed.

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