Bilateral insufficiency fracture of coracoid process: A rare case report

A 69-year-old man was admitted to the hospital for a left femoral neck fracture. A preliminary chest computed tomography scan showed no coracoid process fracture. The patient had no history of trauma during his hospitalization. However, subsequent in-hospital computed tomography scan revealed bilate...

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Main Authors: Hai-En Luo, Wen-Qi Yu, Xin-Ping Su, Can-Yu He, Zhen-Xiang Lu, Dao-Wei Zhang, Xu-Yi Tan
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231187977
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author Hai-En Luo
Wen-Qi Yu
Xin-Ping Su
Can-Yu He
Zhen-Xiang Lu
Dao-Wei Zhang
Xu-Yi Tan
author_facet Hai-En Luo
Wen-Qi Yu
Xin-Ping Su
Can-Yu He
Zhen-Xiang Lu
Dao-Wei Zhang
Xu-Yi Tan
author_sort Hai-En Luo
collection DOAJ
description A 69-year-old man was admitted to the hospital for a left femoral neck fracture. A preliminary chest computed tomography scan showed no coracoid process fracture. The patient had no history of trauma during his hospitalization. However, subsequent in-hospital computed tomography scan revealed bilateral coracoid process fracture. The patient underwent hip replacement surgery for femoral neck fracture, while conservative treatment was administered for the bilateral coracoid process fracture. After 1-year follow-up, the patient was diagnosed with bilateral insufficiency fracture of coracoid process after ruling out other types of fractures. The fractures did not heal while functions in both shoulders were adequate. Insufficiency fracture should be considered when fractures occur without trauma, especially in the presence of associated risk factors such as chronic renal failure and osteoporosis. For bilateral insufficiency fracture of coracoid process, conservative treatment is acceptable.
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spelling doaj.art-02d1c04d17a949749043210337fcaa992023-07-27T05:03:19ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-07-011110.1177/2050313X231187977Bilateral insufficiency fracture of coracoid process: A rare case reportHai-En LuoWen-Qi YuXin-Ping SuCan-Yu HeZhen-Xiang LuDao-Wei ZhangXu-Yi TanA 69-year-old man was admitted to the hospital for a left femoral neck fracture. A preliminary chest computed tomography scan showed no coracoid process fracture. The patient had no history of trauma during his hospitalization. However, subsequent in-hospital computed tomography scan revealed bilateral coracoid process fracture. The patient underwent hip replacement surgery for femoral neck fracture, while conservative treatment was administered for the bilateral coracoid process fracture. After 1-year follow-up, the patient was diagnosed with bilateral insufficiency fracture of coracoid process after ruling out other types of fractures. The fractures did not heal while functions in both shoulders were adequate. Insufficiency fracture should be considered when fractures occur without trauma, especially in the presence of associated risk factors such as chronic renal failure and osteoporosis. For bilateral insufficiency fracture of coracoid process, conservative treatment is acceptable.https://doi.org/10.1177/2050313X231187977
spellingShingle Hai-En Luo
Wen-Qi Yu
Xin-Ping Su
Can-Yu He
Zhen-Xiang Lu
Dao-Wei Zhang
Xu-Yi Tan
Bilateral insufficiency fracture of coracoid process: A rare case report
SAGE Open Medical Case Reports
title Bilateral insufficiency fracture of coracoid process: A rare case report
title_full Bilateral insufficiency fracture of coracoid process: A rare case report
title_fullStr Bilateral insufficiency fracture of coracoid process: A rare case report
title_full_unstemmed Bilateral insufficiency fracture of coracoid process: A rare case report
title_short Bilateral insufficiency fracture of coracoid process: A rare case report
title_sort bilateral insufficiency fracture of coracoid process a rare case report
url https://doi.org/10.1177/2050313X231187977
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