From the Department of Orthopaedic Surgery, Madigan Army Medical Center (Dr. Galvin), Tacoma, WA, the Department of Orthopaedic Surgery, Boston University School of Medicine (Dr. Kang and Dr. Li), Boston, MA, and the Department of Orthopaedic Surgery, University of Missouri School of Medicine (Dr. Ma), Columbia, MO.
J Am Acad Orthop Surg. 2020 Aug 15;28(16):e706-e715. doi: 10.5435/JAAOS-D-19-00148.
Fractures of the coracoid process are relatively rare, and current management guidelines remain unclear. Most coracoid fractures occur in conjunction with other shoulder injuries, including dislocations and fractures. Identifying coracoid fractures can be difficult because most fractures are nondisplaced and can be missed on radiographs or may be masked by other injuries. Management is largely guided by fracture location and displacement. Conservative treatment is preferred for fractures that are minimally displaced, whereas indications for surgical fixation include fractures that are displaced (>1 cm), have progressed to a painful nonunion, or are associated with the disruption of the superior shoulder suspensory complex. Although conservative treatment has been historically favored, satisfactory outcomes have been reported for both surgical and nonsurgical treatment. We provide a comprehensive review of diagnosis and management strategies for coracoid fractures.
喙突骨折相对少见，目前的治疗指南仍不明确。大多数喙突骨折与其他肩部损伤同时发生，包括脱位和骨折。由于大多数骨折无移位，在 X 线片上可能漏诊，或者可能被其他损伤所掩盖，因此识别喙突骨折可能具有挑战性。治疗主要取决于骨折的位置和移位程度。对于轻度移位的骨折，首选保守治疗，而手术固定的指征包括移位（>1cm）、进展为疼痛性骨不连或与肩袖上悬复合体中断相关的骨折。尽管保守治疗历来受到青睐，但手术和非手术治疗均有满意的疗效报告。我们对喙突骨折的诊断和治疗策略进行了全面回顾。
