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Corocoid Process Fracture

Case Detail

Anatomy: Musculoskeletal
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 6 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: CR
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Teenage male with shoulder pain after football injury.

Case Images


Corocoid Process Fracture


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).


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.


Bill Karczewski, MD

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