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Isolated fracture of the coracoid process
Ali Güleç1, Harun Kütahya2, Recep Gani Göncü3
1Department of Orthopedics and Traumatology, Konya Training and Research Hospital, Konya, Turkey.
Case Reports in Orthopedics
|February 11, 2014
Summary
This case study highlights surgical treatment for a rare, isolated coracoid process fracture in a manual laborer. Prompt surgical intervention led to successful bone union and return to work without pain.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Coracoid process fractures are uncommon and often associated with other shoulder girdle injuries.
- These fractures can be challenging to diagnose and treatment remains controversial.
- Manual laborers are at risk due to the forces exerted on the shoulder girdle.
Purpose of the Study:
- To present a case of isolated fragmented coracoid process fracture in a manual laborer.
- To discuss the surgical management and outcomes of this rare injury.
- To emphasize the importance of considering surgical intervention in high-demand patients.
Main Methods:
- A 34-year-old male manual laborer with shoulder pain after a traffic accident was evaluated.
- Radiographs and CT scans revealed a fragmented coracoid base fracture and a mandibular fracture.
- The patient underwent open reduction and internal fixation with a cannulated screw and washer for the coracoid fracture.
Main Results:
- Postoperative imaging at 6 weeks confirmed bone union of the coracoid fracture.
- The patient experienced a full range of motion and was pain-free.
- He successfully returned to his previous manual labor occupation.
Conclusions:
- Surgical treatment for isolated, minimally displaced coracoid process fractures can be effective, particularly in manual laborers.
- Early surgical intervention may prevent nonunion due to occupational stress.
- This case underscores the importance of accurate diagnosis and tailored treatment for coracoid fractures.
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