Author(s): Bárbara Costa, Eduardo Salgado, Ricardo Reis de Sousa, Raquel Ricardo, Pedro Batista and Daniel Ribeiro

Abstract: Coracoid fractures (CF) are rare, representing 3-13% of all scapular fractures. They are also usually associated with lesions to the superior shoulder suspensory complex (SSSC). The authors report a case of a 25-year-old male who sustained a high-energy trauma to his left anterior shoulder. Initial radiographs revealed an acromioclavicular (AC) joint injury, classified as Rockwood type II. A follow-up Computed Tomography (CT) scan showed a fracture at the base of the coracoid process. Surgical treatment was chosen due to fracture's displacement of more than 1-cm. The procedure was performed through a mini-deltopectoral approach, and internal fixation was achieved with cannulated screws. Postoperatively, the patient had excellent recovery, returning to full range of motion and pre-injury activities, without complications at eight-months of follow-up. This case stresses the need for early diagnosis and customized management for CF, highlighting the debate over treatment protocols and the importance of individualized approaches based on fracture characteristics. With the absence of well-defined treatment guidelines for isolated CF in existing literature, this report adds valuable insights into surgical approaches and their effectiveness, reinforcing the necessity for further case documentation to advance clinical understanding.

DOI: 10.22271/27078345.2024.v6.i2b.227

Pages: 89-93 | Views: 89 | Downloads: 34

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