Coracoid process fracture
Updates to Article Attributes
Coracoid process fractures are an uncommon type of scapular fracture. They do not often occur in isolation and are often associated with acromial, clavicular, or other scapular fractures, as well as glenohumeral dislocation or acromioclavicular joint injury.
Epidemiology
Coracoid fractures represent <1% of all fractures and ~7.5% (range 2-13%) of scapular fractures 1.
Pathology
In general, the coracoid process tends to fracture at its base and be minimally displaced. They have been divided into two types:
type I: fracture proximal to the coracoclavicular ligament
type II: fracture distal to the coracoclavicular ligament
Treatment and prognosis
Since the coracoid process is important as a stabiliser for many shoulder movements, surgical management may be necessary for displaced fractures to avoid a painful nonunion 2.
Practical points
the
physicsphysis at the tip of the coracoid normally fuses at 18-25 years oldthe
physicsphysis at the base of the coracoid normally fuses by age 14-16 years old, but before this time it extends into the superior glenoid and can mimic a fracture
-<li><p>the physics at the tip of the coracoid normally fuses at 18-25 years old</p></li>-<li><p>the physics at the base of the coracoid normally fuses by age 14-16 years old, but before this time it extends into the superior glenoid and can mimic a fracture</p></li>- +<li><p>the physis at the tip of the coracoid normally fuses at 18-25 years old</p></li>
- +<li><p>the physis at the base of the coracoid normally fuses by age 14-16 years old, but before this time it extends into the superior glenoid and can mimic a fracture</p></li>