J Korean Orthop Assoc.  2009 Apr;44(2):279-283.

Concomitant Fracture of the Coracoid Process and the Acromion: A Case Report

• Choi JS
• Kim JH
• Gwak HC
• Kim SW

Abstract

Fractures of the acromial process or the coracoid process of scapula are rare, and this is usually the result of direct trauma to the shoulder. This type of fracture is often neglected, but it can be detected by performing careful evaluation. We report here on an unusual case involving a fracture of the coracoid process along with concomitant acromial fracture.

Keyword

Acromial fracture; Coracoid fracture

MeSH Terms

Scapula
Shoulder

Figure

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  Fig. 1 (A) Shoulder true AP shows a fracture of proximal portion of coracoid process, and (B) lateral view shows fracture of proximal acromion and minimally displaced fracture of glenoid involving articular surface. (C) Preoperative axillary lateral view shows a combined fracture of acromion.

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  Fig. 2 (A) Anterior view of 3D-CT image shows the fracture of proximal portion of coracoid process. (B) Posterior view of 3D-CT image shows the fracture of base of acromion.

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  Fig. 3 Radiographs made 3 months after open reduction and internal fixation demomstrates healing of the tractures.

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  Fig. 4 The three struts shoulder suspespensory complex is composed of (A) the acromio-clavicular joint-acromial strut, (B) the clavicular-coracoclavicular ligamentous-coracoid linkage and (C) the three- process-scapular body junction.

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