Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation
Coracoid fractures are uncommon, mostly occur at the base or neck of the coracoid process (CP), and typically present with ipsilateral acromioclavicular joint (ACJ) dislocation. However, CP avulsion fractures at the coracoclavicular ligament (CCL) attachment with ACJ dislocation have not been previo...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/9580485 |
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| author | Yoshihiro Onada Takahisa Umemoto Kimitaka Fukuda Tomomichi Kajino |
| author_facet | Yoshihiro Onada Takahisa Umemoto Kimitaka Fukuda Tomomichi Kajino |
| author_sort | Yoshihiro Onada |
| collection | DOAJ |
| description | Coracoid fractures are uncommon, mostly occur at the base or neck of the coracoid process (CP), and typically present with ipsilateral acromioclavicular joint (ACJ) dislocation. However, CP avulsion fractures at the coracoclavicular ligament (CCL) attachment with ACJ dislocation have not been previously reported. A 59-year-old woman receiving glucocorticoid treatment fell from bed and complained of pain in her shoulder. Radiographs revealed an ACJ dislocation with a distal clavicle fracture. Three-dimensional computed tomography (3D-CT) reconstruction showed a small bone fragment at the medial apex of the CP. She was treated conservatively and achieved a satisfactory outcome. CP avulsion fractures at the CCL attachment can occur in osteoporotic patients with ACJ dislocations. Three-dimensional computed tomography is useful for identifying this fracture type. CP avulsion fractures should be suspected in patients with ACJ dislocations and risk factors for osteoporosis or osteopenia. |
| format | Article |
| id | doaj-art-0a6b4af215ed4dda87149fe81ab60877 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0a6b4af215ed4dda87149fe81ab608772025-02-03T01:24:32ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/95804859580485Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint DislocationYoshihiro Onada0Takahisa Umemoto1Kimitaka Fukuda2Tomomichi Kajino3Department of Orthopaedic Surgery, Tonan Hospital, Kita-1-jou Nishi-6-chome, Chuo-ku, Sapporo, Hokkaido 060-0001, JapanDepartment of Orthopaedic Surgery, Tonan Hospital, Kita-1-jou Nishi-6-chome, Chuo-ku, Sapporo, Hokkaido 060-0001, JapanItou Orthopaedic Hospital, Minami-2-jou Nishi-10-chome 5, Chuo-ku, Sapporo, Hokkaido 060-0062, JapanDepartment of Orthopaedic Surgery, Tonan Hospital, Kita-1-jou Nishi-6-chome, Chuo-ku, Sapporo, Hokkaido 060-0001, JapanCoracoid fractures are uncommon, mostly occur at the base or neck of the coracoid process (CP), and typically present with ipsilateral acromioclavicular joint (ACJ) dislocation. However, CP avulsion fractures at the coracoclavicular ligament (CCL) attachment with ACJ dislocation have not been previously reported. A 59-year-old woman receiving glucocorticoid treatment fell from bed and complained of pain in her shoulder. Radiographs revealed an ACJ dislocation with a distal clavicle fracture. Three-dimensional computed tomography (3D-CT) reconstruction showed a small bone fragment at the medial apex of the CP. She was treated conservatively and achieved a satisfactory outcome. CP avulsion fractures at the CCL attachment can occur in osteoporotic patients with ACJ dislocations. Three-dimensional computed tomography is useful for identifying this fracture type. CP avulsion fractures should be suspected in patients with ACJ dislocations and risk factors for osteoporosis or osteopenia.http://dx.doi.org/10.1155/2016/9580485 |
| spellingShingle | Yoshihiro Onada Takahisa Umemoto Kimitaka Fukuda Tomomichi Kajino Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation Case Reports in Orthopedics |
| title | Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation |
| title_full | Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation |
| title_fullStr | Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation |
| title_full_unstemmed | Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation |
| title_short | Coracoid Process Avulsion Fracture at the Coracoclavicular Ligament Attachment Site in an Osteoporotic Patient with Acromioclavicular Joint Dislocation |
| title_sort | coracoid process avulsion fracture at the coracoclavicular ligament attachment site in an osteoporotic patient with acromioclavicular joint dislocation |
| url | http://dx.doi.org/10.1155/2016/9580485 |
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