Recurrent Shoulder Dislocations Secondary to Coracoid Process Fracture: A Case Report

Journal of Orthopaedic Surgery - Tập 20 Số 1 - Trang 121-125 - 2012
Hitesh Lal1, Pankaj Bansal2, Vinod Kumar Sabharwal1, Lalrin Mawia1, Deepak Mittal1
1Department of orthopaedics, Postgraduate Institute of Medical Education & Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India
2BL Kapur Hospital, New Delhi, India

Tóm tắt

Coracoid process fracture is easily missed in recurrent anterior shoulder dislocation. We report one such case in a 48-year-old man. Radiology revealed the Bankart lesion and the Hill-Sachs lesion only; the coracoid process fracture was discovered intra-operatively. The anatomy of the shoulder was restored by fixing the fragment to its scapular remnant with a 4-mm cannulated cancellous screw. The tip and the proximal fragment were reamed before inserting the screw. This fragment was routed with attached short head of biceps and coracobrachialis through the lower one third of the subscapularis, before homing it and fixing it to the proximal coracoid fragment. This extra-articular repair resulted in less stiffness than any intra-articular procedure. At the 2-year follow-up, the patient had had no further shoulder dislocation.

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Tài liệu tham khảo

10.1302/0301-620X.67B5.4055868

10.1097/00003086-198305000-00038

Moneim MS, 1982, Clin Orthop Relat Res, 168, 133, 10.1097/00003086-198208000-00026

10.2106/00004623-194931030-00027

10.2106/00004623-197557060-00029

10.1080/00016470052943982

Saragaglia D, 1994, Rev Chir Orthop Reparatrice Appar Mot, 80, 651

10.1111/j.1445-2197.2006.04005.x

Kalicke T, 2002, Unfallchirurg, 105, 843, 10.1007/s00113-002-0427-2

10.1016/0020-1383(94)90116-3

10.1016/0020-1383(89)90173-3

10.2106/00004623-197153020-00017

10.1016/0020-1383(81)90239-4

10.1302/0301-620X.79B1.0790017

10.4103/0973-6042.70823

10.2106/00004623-197961020-00026

10.1007/s00167-006-0239-y

Dalsgaard HL, 2000, Acta Orthop Belg, 66, 248

10.1177/230949900701500102

10.1302/0301-620X.77B3.7744929

10.2106/00004623-200702000-00003

10.1177/0363546506288239

10.1177/0363546506288852

10.4103/0973-6042.57936

Ha'Eri GB, 1986, Clin Orthop Relat Res, 206, 196, 10.1097/00003086-198605000-00034

10.1007/s00264-001-0303-7

10.1016/j.jse.2003.12.010

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Journal of Orthopaedic Surgery

Tập 20 Số 1

121-125

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