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An anatomic study of the coracoid process as it relates to bone transfer procedures
Christopher M Dolan1, Sanaz Hariri, Nathan D Hart
1Department of Orthopaedics and Division of Sports Medicine, Stanford University, Palo Alto, CA, USA.
Journal of Shoulder and Elbow Surgery
|November 26, 2010
Summary
This study defines the coracoid
Area of Science:
- Orthopedic Surgery
- Anatomy
Background:
- Recurrent anterior shoulder instability often requires bony reconstruction.
- Coracoid transfer procedures are used, but coracoid anatomy is not well-defined.
- Understanding coracoid anatomy is crucial for surgical success.
Purpose of the Study:
- To describe coracoid soft tissue attachments in relation to bony anatomy.
- To define the average bone available for coracoid transfer.
Main Methods:
- Dissection of ten fresh frozen shoulder specimens.
- Measurement of coracoid bony dimensions.
- Mapping of soft tissue attachment footprints on the coracoid.
Main Results:
- Mean coracoid length for transfer: 28.5 mm.
- Specific distances from coracoid tip to pectoralis minor and coracoacromial ligament attachments provided.
- Detailed measurements of soft tissue footprints are available.
Conclusions:
- Provides average dimensions of the bony coracoid and its soft tissue footprints.
- Enables surgeons to correlate osteotomy location with soft tissue implications.
- Aids in understanding anatomical manipulation during coracoid transfer procedures.
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