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Open Access Highly Accessed Case report

Base of coracoid process fracture with acromioclavicular dislocation in a child

Prithee Jettoo*, Gavin de Kiewiet and Simon England

Author Affiliations

Department of Trauma and Orthopaedics, Sunderland Royal Hospital, Sunderland SR4 7TP, UK

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Journal of Orthopaedic Surgery and Research 2010, 5:77  doi:10.1186/1749-799X-5-77

Published: 18 October 2010

Abstract

Fracture of the coracoid process is a rare injury. It can be easily missed when associated with other injuries to the shoulder girdle, for instance, acromioclavicular joint (ACJ) dislocation. Clinical attention is easily drawn to the more obvious ACJ dislocation, hence, the need for further radiological evaluation. We report an unusual case of fracture of the base of coracoid process associated with a true acromioclavicular joint dislocation in a 12 year old boy, with no separation of the epiphyseal plate, as one might expect. Treatment also remains controversial. Our patient underwent open reduction internal fixation of the acromioclavicular joint and coracoid process. He subsequently made an uneventful progress with pain free full range of shoulder movement at 5 months, and was discharged at 9 months.