Peter G van Doesburg1, Salih El Saddy2, Tjarco D Alta2, Arthur van Noort2, Christiaan J A van Bergen3. 1. Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands. petervandoesburg@gmail.com. 2. Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands. 3. Department of Orthopaedic Surgery, Amphia, Breda, The Netherlands.
Abstract
INTRODUCTION: The coracoid process is a small hook-shaped feature on the scapula and a key structure of the superior shoulder suspensory complex (SSSC). Fractures of the coracoid are rare. Therefore, no consensus exists regarding treatment of coracoid process fractures. Systematically review indications, outcomes and complications of traumatic coracoid process fractures in adults, and to provide a treatment algorithm. MATERIALS AND METHODS: A systematic review was performed to identify all relevant studies on the treatment of coracoid process fractures. The methodological quality of the studies was scored using the Methodological Index for Non-Randomized Studies (MINORS). RESULTS: Eight case series, with a total of 110 coracoid process fractures, were included. All studies were of moderate methodological quality. Of the fractures, 78% were Ogawa type I fractures, 13% Ogawa type II and 9% were unclassified. Conservative treatment showed good results in most Ogawa type II fractures and type I fractures without associated disruptions of the SSSC. Most Ogawa type I fractures with associated disruptions of the SSSC received surgical treatment showing good results. CONCLUSION: Based on moderate quality studies, surgical treatment may be considered in Ogawa type I fractures with multiple disruptions of the SSSC. A conservative treatment seems sufficient in other fracture types.
INTRODUCTION: The coracoid process is a small hook-shaped feature on the scapula and a key structure of the superior shoulder suspensory complex (SSSC). Fractures of the coracoid are rare. Therefore, no consensus exists regarding treatment of coracoid process fractures. Systematically review indications, outcomes and complications of traumatic coracoid process fractures in adults, and to provide a treatment algorithm. MATERIALS AND METHODS: A systematic review was performed to identify all relevant studies on the treatment of coracoid process fractures. The methodological quality of the studies was scored using the Methodological Index for Non-Randomized Studies (MINORS). RESULTS: Eight case series, with a total of 110 coracoid process fractures, were included. All studies were of moderate methodological quality. Of the fractures, 78% were Ogawa type I fractures, 13% Ogawa type II and 9% were unclassified. Conservative treatment showed good results in most Ogawa type II fractures and type I fractures without associated disruptions of the SSSC. Most Ogawa type I fractures with associated disruptions of the SSSC received surgical treatment showing good results. CONCLUSION: Based on moderate quality studies, surgical treatment may be considered in Ogawa type I fractures with multiple disruptions of the SSSC. A conservative treatment seems sufficient in other fracture types.
Entities:
Keywords:
Associated injuries; Coracoid process fracture; Internal fixation; Open reduction; SSSC; Scapula
Authors: Felix Angst; Géza Pap; Anne F Mannion; Daniel B Herren; André Aeschlimann; Hans-Kaspar Schwyzer; Beat R Simmen Journal: Arthritis Rheum Date: 2004-10-15
Authors: Christopher R Constant; Christian Gerber; Roger J H Emery; Jens Ole Søjbjerg; Frank Gohlke; Pascal Boileau Journal: J Shoulder Elbow Surg Date: 2008-01-22 Impact factor: 3.019
Authors: Hussan Mohammed; Matthew R Skalski; Dakshesh B Patel; Anderanik Tomasian; Aaron J Schein; Eric A White; George F Rick Hatch; George R Matcuk Journal: Radiographics Date: 2016-07-29 Impact factor: 5.333
Authors: Fatih Doğar; Kadir İsmail Dere; Kaan Gürbüz; Duran Topak; Mustafa Abdullah Özdemir; Burak Kuşcu; Ökkeş Bilal Journal: Jt Dis Relat Surg Date: 2021-11-19