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KMID : 0376120000270010107
Medical Journal of the Red Cross Hospital
2000 Volume.27 No. 1 p.107 ~ p.111
Coracoid Process Fracture Associated with Acromioclavicular Dislocation and Partial Rupture of Coracoclavicular igament


Abstract
A coracoid process fracture associated with acromioclavicular dislocation has been reported infrequently. Furthermore the same injury with coracoclavicular ligament rupture has been reported only two cases to our knowledge. Two separate injury mechanisms seem to be involved in this instance; one is direct trauma to the shoulder girdle causing dislocation of acromioclavicular joint, and the other is sudden avulsive pull on coracoid process by the conjoined tendons of short head of biceps brachii and coracobrachialis, and pectoralis minor muscle causing fracture of the coracoid process. We report a case of coracoid process fracture associated with acromioclavicular dislocation and partial rupture of coracoclavicular ligament. The lesion was treated by open reduction and internal fixation using two K-wires for the acromioclavicular joint and a cortical screw for coracoid process, and the result was satisfactory without complication.
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