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Case Reports in OrthopedicsVolume 2014 2014, Article ID 482130, 3 pages

Case Report

Department of Orthopedics and Traumatology, Konya Training and Research Hospital, Konya, Turkey

Department of Orthopedics and Traumatology, Konya Beyhekim State Hospital, Selçuklu, 42100 Konya, Turkey

Department of Orthopedics and Traumatology, Mevlana University Medical Faculty, Konya, Turkey

Department of Orthopedics and Traumatology, Meram Medical School, Necmettin Erbakan University, Konya, Turkey

Received 8 November 2013; Accepted 4 December 2013; Published 6 January 2014

Academic Editors: T. Tsurumoto and T. Yasuda

Copyright © 2014 Ali Güleç et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coracoid fractures are rarely seen fractures. In the shoulder girdle, coracoid process fractures generally accompany dislocation of the acromioclavicular joint or glenohumeral joint, scapula corpus, clavicula, humerus fracture, or rotator cuff tear. Coracoid fractures can be missed and the treatment for coracoid process fractures is still controversial. In this paper, a 34-year-old male manual labourer presented to the emergency department with complaints of pain and restricted movement in the left shoulder following a traffic accident. On direct radiographs and computerised tomography images a fragmented fracture was observed on the base of the coracoid process. In addition to the coracoid fracture, a mandibular fracture was determined. The patient was admitted for surgery on both fractures. After open reduction, fixation was made with a 3.5 mm cannulated screw and washer. At the postoperative 6th week, bone union was determined. The patient returned to his previous occupation pain-free and with a full range of joint movement. In conclusion, in the current case of isolated fragmented coracoid process fracture showing minimal displacement in a patient engaged in heavy manual work, surgery was preferred as it was thought that nonunion might be encountered particularly because of the effect of forces around the coracoid.





Author: Ali Güleç, Harun Kütahya, Recep Gani Göncü, and Serdar Toker

Source: https://www.hindawi.com/



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