Editorial Commentary: The Coracoid Process as the Origin of Several Ligaments: What May Be Cut, What Must Be Refixed?

The coracoid process is the origin of the trapezoid ligament, the deltoid ligament, and the coracoacromial ligament (CAL). Detailed knowledge about their anatomy is crucial for surgical procedures such as the reconstruction of the coracoclavicular ligaments or coracoid transfer. Although the coracoclavicular ligaments are considered important stabilizers of the acromioclavicular joint and are therefore highly protected, the CAL seems less important, which is why it is generally cut during coracoid transfer procedures. However, there is evidence that the CAL contributes to muscular balance and stabilization of the shoulder girdle. Therefore, an individual approach should be considered during coracoid transfer to save at least parts of the CAL.