Coracoid Fracture Associated with Acromioclavicular Dislocation

Abstract

When a fracture of the coracoid process is identified by clinical examination and X-rays, one should always be aware of a possible acromioclavicular dislocation. Clinical exam and X-rays of the shoulder with weights in the patient's hand will help substantiate the diagnosis. Reduction of the acromioclavicular dislocation (by whatever means desirable) seems to reduce the coracoid fracture well. Obviously, this combination of injuries precludes the use of coracoclavicular methods of fixation as a method of treatment. Acromioclavicular joint reduction and secure internal fixation generally provides adequate coracoid fracture reduction and allows subsequent healing.