Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report
Background. Fracture of the distal clavicle fracture associated with a coracoid process fracture is extremely rare in the practice of an orthopedic surgeon. Therefore, there is no common approach to the treatment of patients with this type of bone injuries of the shoulder girdle. Aim of the study...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2023-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/14793/pdf |
| _version_ | 1797261460740505600 |
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| author | Alexander I. Avdeev Dmitrii G. Parfeev Danil D. Parshin Ekaterina V. Sinitsyna |
| author_facet | Alexander I. Avdeev Dmitrii G. Parfeev Danil D. Parshin Ekaterina V. Sinitsyna |
| author_sort | Alexander I. Avdeev |
| collection | DOAJ |
| description | Background. Fracture of the distal clavicle fracture associated with a coracoid process fracture is extremely rare in the practice of an orthopedic surgeon. Therefore, there is no common approach to the treatment of patients with this type of bone injuries of the shoulder girdle.
Aim of the study to demonstrate positive experience of conservative treatment of the coracoid process fracture combined with hook plate fixation for distal clavicle fracture.
Case presentation. We present a rare clinical case of a closed distal clavicle fracture associated with coracoid process fracture. Trauma occurred when the patient fell down the stairs on his abducted upper limb. After examination, the distal clavicle fracture was fixed with a hook plate. Intraoperatively, X-rays showed a satisfactory position of the coracoid process of the scapula. Therefore, it was decided not to fix it additionally. CT scans three months after the surgery showed bone fragments consolidation. Removal of the hook plate and screws from the clavicle was performed.
Conclusion. Presented clinical case illustrates successful treatment result of this type of fractures without fixation of the coracoid process fracture. The hook plating allows to stabilize bone fragments and restore ligament tension, which makes this implant non-alternative for fixation of this type of injuries. |
| first_indexed | 2024-04-24T23:41:34Z |
| format | Article |
| id | doaj.art-b05febfd11c24f369c898553de46c9d7 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-04-24T23:41:34Z |
| publishDate | 2023-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-b05febfd11c24f369c898553de46c9d72024-03-15T11:44:04ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332023-09-0129311812310.17816/2311-2905-147931282Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case ReportAlexander I. Avdeev0https://orcid.org/0000-0002-1557-1899Dmitrii G. Parfeev1https://orcid.org/0000-0001-8199-7161Danil D. Parshin2https://orcid.org/0009-0002-0010-1437Ekaterina V. Sinitsyna3https://orcid.org/0009-0002-9798-7886Vreden National Medical Research Center of Traumatology and OrthopedicsVreden National Medical Research Center of Traumatology and OrthopedicsSaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversityBackground. Fracture of the distal clavicle fracture associated with a coracoid process fracture is extremely rare in the practice of an orthopedic surgeon. Therefore, there is no common approach to the treatment of patients with this type of bone injuries of the shoulder girdle. Aim of the study to demonstrate positive experience of conservative treatment of the coracoid process fracture combined with hook plate fixation for distal clavicle fracture. Case presentation. We present a rare clinical case of a closed distal clavicle fracture associated with coracoid process fracture. Trauma occurred when the patient fell down the stairs on his abducted upper limb. After examination, the distal clavicle fracture was fixed with a hook plate. Intraoperatively, X-rays showed a satisfactory position of the coracoid process of the scapula. Therefore, it was decided not to fix it additionally. CT scans three months after the surgery showed bone fragments consolidation. Removal of the hook plate and screws from the clavicle was performed. Conclusion. Presented clinical case illustrates successful treatment result of this type of fractures without fixation of the coracoid process fracture. The hook plating allows to stabilize bone fragments and restore ligament tension, which makes this implant non-alternative for fixation of this type of injuries.https://journal.rniito.org/jour/article/viewFile/14793/pdfacromioclavicular joint injurydistal clavicle fracturecoracoid process fracturehook plate |
| spellingShingle | Alexander I. Avdeev Dmitrii G. Parfeev Danil D. Parshin Ekaterina V. Sinitsyna Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report Travmatologiâ i Ortopediâ Rossii acromioclavicular joint injury distal clavicle fracture coracoid process fracture hook plate |
| title | Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report |
| title_full | Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report |
| title_fullStr | Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report |
| title_full_unstemmed | Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report |
| title_short | Coracoid Process Fracture Associated With a Distal Clavicle Fracture: A Case Report |
| title_sort | coracoid process fracture associated with a distal clavicle fracture a case report |
| topic | acromioclavicular joint injury distal clavicle fracture coracoid process fracture hook plate |
| url | https://journal.rniito.org/jour/article/viewFile/14793/pdf |
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