Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Midgut Volvulus
Joseph Junewick, MD FACR
over 4 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Corocoid Process Fracture

Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 3 years ago
Updated: 10 months ago
Tags: PEDS
Modality/Study Types: CR
Activities:
Adobe32 PDF Imagej32 ImageJA

History

Teenage male with shoulder pain after football injury.


Case Images


Diagnosis

Corocoid Process Fracture

Findings

DR – Axillary view of the left should shows a transverse fracture of the tip of the coracoid process with separation and overlying soft tissue edema (type 2 coracoid process fracture).

Discussion

Coracoid fractures usually occur in association with acromioclavicular disruption or other fracture of the shoulder girdle. Isolated coracoid process fractures are rare, accounting for 2-13% of scapula fractures, and usually the result of direct impact (gun recoil or sports injury). Brachial plexopathy may accompany coracoid fractures. The coracoid process has two apophyses, one at the base and one at the tip (the base ossifies by 14-16 years and the tip ossifies by 18 – 24 years); the presence of apophyses can make diagnosis of fracture difficult. Fractures are classified by their relationship to the coracoclavicular ligament; type 1 proximal to the ligament and type 2 distal to the ligament. develops as an apophysis and as such fracture may be difficult to diagnose. Indications for surgical treatment were accepted as painful nonunion, >1 cm displacement, concomitant scapula fracture on the same side and the presence of superior shoulder suspensory complex injuries.

Contributor

Bill Karczewski, MD



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare