Arthroscopic reduction and hollow screw internal fixation for Eyres Type IIIA scapular coracoid fracture: a case report

BMC Musculoskelet Disord. 2024 Aug 15;25(1):645. doi: 10.1186/s12891-024-07767-6.

Abstract

Background: A coracoid process fracture combined with an acromioclavicular (AC) joint dislocation is an uncommon injury that typically causes significant pain and limits shoulder movement. Open reduction and internal fixation have been the traditional treatment approach. However, arthroscopic techniques are emerging as a promising alternative for managing these injuries.

Case representation: A 35-year-old woman presented with right shoulder pain following an accidental fall. Imaging studies revealed a coracoid process fracture along with an AC joint dislocation. The fracture was classified as an Eyres Type IIIA, which warranted surgical intervention. Our team performed arthroscopic coracoid fracture reduction and internal fixation surgery, as well as AC joint dislocation repair using Kirschner wires. Six months after surgery, the patient demonstrated a satisfactory functional outcome with complete bone healing.

Conclusion: This case report highlights the potential of arthroscopic reduction and fixation as a novel treatment option for fractures of the coracoid base.

Keywords: Arthroscopy; Hollow screw; Internal fixation; Reduction; Scapular coracoid fracture.

Publication types

  • Case Reports

MeSH terms

  • Acromioclavicular Joint / diagnostic imaging
  • Acromioclavicular Joint / injuries
  • Acromioclavicular Joint / surgery
  • Adult
  • Arthroscopy* / methods
  • Bone Screws*
  • Coracoid Process* / diagnostic imaging
  • Coracoid Process* / injuries
  • Coracoid Process* / surgery
  • Female
  • Fracture Fixation, Internal* / instrumentation
  • Fracture Fixation, Internal* / methods
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans
  • Scapula / diagnostic imaging
  • Scapula / injuries
  • Scapula / surgery
  • Treatment Outcome