Combined Clavicular Hook Plate and Coracoid Screw Fixation for Coracoid Process Fractures Associated with...

Area of Science:

• Orthopedic Surgery
• Traumatology
• Sports Medicine

Background:

• Coracoid process (CP) fractures combined with acromioclavicular (AC) joint dislocation are rare injuries.
• Limited evidence exists for optimal surgical management of these combined injuries.

Purpose of the Study:

• To evaluate clinical and radiologic outcomes of simultaneous fixation for CP fractures and AC joint dislocation.
• To assess the efficacy of clavicular hook plate and coracoid screw fixation.

Main Methods:

• Retrospective case series of 15 patients with Ogawa type I CP fractures and AC joint dislocation.
• Surgical fixation using clavicular hook plate and coracoid screw.
• Assessment of shoulder range of motion, pain (VAS), Constant score, CP union (CT), and AC joint alignment.

Main Results:

• All 15 patients achieved CT-confirmed coracoid process union.
• No residual acromioclavicular joint subluxation was observed.
• Patients reported excellent range of motion, low pain scores, and high Constant scores, returning to prior activities.

Conclusions:

• Simultaneous fixation with a clavicular hook plate and coracoid screw is a reliable method for stabilizing combined CP fractures and AC joint dislocations.
• This technique leads to consistent bone healing, joint alignment restoration, and positive clinical results.
• Further comparative studies are needed due to the retrospective nature of this case series.