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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

07.06.2020 | Orthopaedic Surgery

Treatment of coracoid process fractures: a systematic review

verfasst von: Peter G. van Doesburg, Salih El Saddy, Tjarco D. Alta, Arthur van Noort, Christiaan J. A. van Bergen

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 7/2021

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Abstract

Introduction

The coracoid process is a small hook-shaped feature on the scapula and a key structure of the superior shoulder suspensory complex (SSSC). Fractures of the coracoid are rare. Therefore, no consensus exists regarding treatment of coracoid process fractures. Systematically review indications, outcomes and complications of traumatic coracoid process fractures in adults, and to provide a treatment algorithm.

Materials and methods

A systematic review was performed to identify all relevant studies on the treatment of coracoid process fractures. The methodological quality of the studies was scored using the Methodological Index for Non-Randomized Studies (MINORS).

Results

Eight case series, with a total of 110 coracoid process fractures, were included. All studies were of moderate methodological quality. Of the fractures, 78% were Ogawa type I fractures, 13% Ogawa type II and 9% were unclassified. Conservative treatment showed good results in most Ogawa type II fractures and type I fractures without associated disruptions of the SSSC. Most Ogawa type I fractures with associated disruptions of the SSSC received surgical treatment showing good results.

Conclusion

Based on moderate quality studies, surgical treatment may be considered in Ogawa type I fractures with multiple disruptions of the SSSC. A conservative treatment seems sufficient in other fracture types.

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Titel: Treatment of coracoid process fractures: a systematic review
verfasst von: Peter G. van Doesburg
Salih El Saddy
Tjarco D. Alta
Arthur van Noort
Christiaan J. A. van Bergen
Publikationsdatum: 07.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 7/2021
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03496-2

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Treatment of coracoid process fractures: a systematic review