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Program

Orthopedic Surgery

Training Level

Resident PGY 3

Institution

Henry Ford Macomb

Abstract

Abstract: Coracoid fractures are an uncommon injury and typically occur in the setting of high energy trauma. Isolated injury to the coracoid is rare therefore a high suspicion for concomitant shoulder injury should exist. These associated injuries have been shown to be acromioclavicular dislocations, clavicular and acromial fractures, scapular spine fractures, rotator cuff tears, and anterior shoulder dislocations. While the majority of these shoulder injuries respond to non-surgical treatment, there are case reports and literature reviews that present more complicated injuries requiring surgical intervention. Shoulder dislocations with associated coracoid fractures can also manifest glenoid bone loss resulting in continued instability. In this scenario the fractured coracoid can be used to address the glenoid bone loss as well as the continued instability. In regards to technique, others describe an open procedure with screw or anchor fixation. The purpose of this technical note is to describe our technique for treating a displaced Ogawa Type-II coracoid process fracture with concomitant anterior shoulder dislocation using an arthroscopic Latarjet technique utilizing the fractured coracoid.

Presentation Date

5-2020

Management of Traumatic Coracoid Fracture and Anterior Shoulder Instability With a Modified Arthroscopic Latarjet Technique

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