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Nonunion of the coracoid process: a systematic review
Kiyohisa Ogawa1, Noboru Matsumura2, Atsushi Yoshida3
1Department of Orthopedic Surgery, Eiju General Hospital, 2-23-16 Higashi-Ueno, Taito-ku, Tokyo, 110-8645, Japan. ogawa51@jcom.home.ne.jp.
Archives of Orthopaedic and Trauma Surgery
|October 30, 2020
Summary
Coracoid nonunion (CN) is often asymptomatic, with satisfactory outcomes achieved by treating concurrent injuries. If symptoms arise, determine the cause to guide treatment for coracoid process fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Anatomy
Background:
- Coracoid process fractures (CN) are rare, with limited research on nonunion and its management.
- No standardized treatment protocol exists for coracoid nonunion.
Purpose of the Study:
- To review existing literature on coracoid nonunion (CN).
- To analyze patient characteristics, fracture types, and outcomes of CN.
- To inform treatment strategies for coracoid nonunion.
Main Methods:
- Systematic literature search of PubMed and Scopus for coracoid fracture articles.
- Inclusion of English full-text articles with patient data and images.
- Classification of fractures using Ogawa's and Eyres' systems.
Main Results:
- Thirty cases of coracoid nonunion (CN) in 29 patients were identified.
- Most CN cases were associated with other shoulder girdle injuries.
- Oversight and conservative treatment were common causes of CN; most cases were asymptomatic or had insignificant symptoms.
Conclusions:
- Coracoid nonunion (CN) is frequently asymptomatic, and concurrent injuries often dictate patient outcomes.
- Treatment should focus on associated injuries, addressing CN symptoms only if they are clearly attributable to the nonunion itself.
- Careful evaluation of symptom mechanism is crucial for guiding CN treatment decisions.
Keywords:
Acromioclavicular dislocationAnterior shoulder instabilityCoracoid fractureNonunionScapular fractureMore Related Videos
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