Coracoid fracture with anterior instability treated with staged coracoid fixation and latarjet procedure in a young fisherman: A case report
Coracoid process fracture with anterior shoulder instability is a rare presentation. With a coracoid body fracture extending to the tip, a biomechanically stronger Latarjet procedure cannot be performed, instead, a weaker procedure like the Bristow procedure can be done. Here we present a 7-year fol...
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Veröffentlicht in: | Journal of Orthopaedic Reports 2025-09, Vol.4 (3), p.100394, Article 100394 |
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Sprache: | eng |
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Zusammenfassung: | Coracoid process fracture with anterior shoulder instability is a rare presentation. With a coracoid body fracture extending to the tip, a biomechanically stronger Latarjet procedure cannot be performed, instead, a weaker procedure like the Bristow procedure can be done. Here we present a 7-year follow-up where a staged procedure of fixation of the coracoid process followed by an open Latarjet procedure utilizing the healed coracoid.
A 35-year-old deep sea fisherman presented to us with recurrent episodes of right shoulder dislocations.Imaging showed a coracoid process fracture [Eyres type 2] with glenoid bone loss of 28 %. Primarily coracoid fracture fixation was done and 3 months post-operatively, an open latarjet was performed. The patient after 7 years is doing well with good stability of the operated shoulder joint.
Our purpose in reporting this case is to point out that a Latarjet procedure can still be done in a patient whose coracoid process has fractured through the body with staged fixation of the coracoid fracture and using the same as graft at a later date in a patient with chronic anterior shoulder instability, thus providing the soft tissue and bony construct strength in a young high demand person. |
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ISSN: | 2773-157X 2773-157X |
DOI: | 10.1016/j.jorep.2024.100394 |