Kahramanmaraş Sütçü İmam Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 46040 Onikişubat, Kahramanmaraş, Turkey.
Jt Dis Relat Surg. 2020;31(3):630-633. doi: 10.5606/ehc.2020.72842.
Isolated coracoid fractures (ICFs) are rare and the management is controversial. In this article, we report a displaced ICF, treated conservatively with success. A 12-year-old male patient presented with mild pain in his right shoulder after simple fall. Physical examination was normal except mild tenderness on the coracoid process and mildly limited active shoulder motion. Plain radiographs did not demonstrate any apparent finding of pathology. Computed tomography (CT) images revealed isolated coracoid mid-process fracture with displacement. Significant symptomatic relief as well as sufficient callus formation, confirmed by follow-up CT examination, was achieved after Velpeau sling use for four weeks. After a follow-up duration of 14 months, excellent clinical and radiologic outcomes were accomplished. The result of this case supports the efficiency of conservative treatment for ICFs in adolescents, even in the presence of considerable fracture displacement. Computed tomography imaging is a valuable diagnostic tool for the assessment of ICF.
孤立性喙突骨折（ICF）较为罕见，其治疗存在争议。本文报告了一例经保守治疗成功的移位性 ICF。一名 12 岁男性患者在简单摔倒后出现右肩部轻度疼痛。体格检查除喙突处轻度压痛和主动肩部活动轻度受限外无明显异常。普通 X 线片未见明显病理表现。CT 图像显示孤立性喙突中段骨折伴移位。使用 Velpeau 吊带固定四周后，患者症状明显缓解，随访 CT 检查显示有足够的骨痂形成。随访 14 个月后，患者取得了极好的临床和影像学结果。该病例结果支持青少年 ICF 采用保守治疗，即使存在明显骨折移位也是如此。CT 成像对于 ICF 的评估是一种有价值的诊断工具。
