title: Coracoid fracture combined with distal clavicle fracture without coracoclavicular ligament rupture: A case report.
abstract: Distal clavicle fracture accompanied by coracoid process one is a rare injury. Surgical and/or conservative treatments are proposed. We report the case of a 49-year-old woman presenting a distal clavicle fracture associated with a coracoid process one due to a fall on the left shoulder. Both injuries are treated surgically. Per operatively, and through an anterior "strap" approach, the coracoclavicular ligament was seen intact. The distal clavicle fracture was fixed with K-wires and cerclage and the coracoid process was secured by a screw. Active-assisted rehabilitation of the shoulder was initiated 3 weeks after surgery. At the last follow-up of twelve months, the patient had painless full shoulder functions and X-rays show bony union. Early recovery to normal life is possible with surgical treatment in patients with distal clavicle fracture combined with coracoid fracture.
authors.affiliation: Orthopaedic Surgeon, Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Allagui
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Koubaa
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: I
authors.initials: I
authors.lastname: Aloui
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Zrig
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: M F
authors.initials: MF
authors.lastname: Hamdi
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia.
authors.forename: A
authors.initials: A
authors.lastname: Abid
keywords: Clavicle; Coracoclavicular; Coracoid process; Fracture; Surgery