An Isolated Displaced Fracture of the Coracoid Process Treated with Open reduction and internal fixation - A Case Report and Review of Literature.
BACKGROUND
Isolated coracoid fractures are rare and few scattered cases are reported in literature. Coracoid fractures can be missed and the treatment for coracoid process fractures is still controversial. The case presented here is of an isolated coracoid process fracture which was treated surgically.


METHODS
A 15-years old male presented after 4 days of injury complaining of persistent pain in the right shoulder following a jerk during bowling. Physical examination revealed tenderness in the left shoulder. There was pain on abduction and external rotation. The neurovascular examination was normal. Osseous avulsion of the distal tip of the coracoid process was confirmed by CT and MRI. The short head of the biceps and coracobrachialis was attached to the avulsed tip, while the pectoralis minor was attached to the coracoid base. The case was managed by open reduction and fixation with a 3.5mm cannulated screw and washer.


CONCLUSIONS
Isolated coracoid fracture is a rare entity causing impairment of upper limb movement. It can be diagnosed more accurately by MRI scan and CT scan. In case of young highly demanding individuals like athletes surgical management may be a better option as compared to conservative treatment to achieve early use of the extremity, good radiological union and clinical function.
Department of Orthopaedic, Lilavati -Shushrusha- Hinduja healthcare, Khar - Global Hospitals, Mumbai. Maharashtra. India.
Shreedhar
S
Archik
Department of Orthopaedic, Lilavati -Shushrusha- Hinduja healthcare, Khar - Global Hospitals, Mumbai. Maharashtra. India.
Saurav Narayan
SN
Nanda
Department of Orthopaedic, Lilavati -Shushrusha- Hinduja healthcare, Khar - Global Hospitals, Mumbai. Maharashtra. India.
Sanjay
S
Tripathi
Department of Orthopaedic, Lilavati -Shushrusha- Hinduja healthcare, Khar - Global Hospitals, Mumbai. Maharashtra. India.
Ashlesh
A
Choudhari
PGDR (Rehabilitation med) Director & consultant in Prakruti Sports rehabilitation centre. Mumbai. Maharashtra. India.
Harshada
H
Rajadhyaksha
Associated Injuries; Isolated Fracture; Key Words: Fracture Coracoid; Osteosynthesis