Bishai Shariff K, Hinz Jonathon A, Ward L Colby, Martinez Melissa M
Henry Ford Macomb Hospital, Clinton Township, Michigan, U.S.A.
Associated Orthopedists of Detroit, St Clair Shores, Michigan, U.S.A.
Arthrosc Tech. 2020 Sep 9;9(9):e1341-e1348. doi: 10.1016/j.eats.2020.05.016. eCollection 2020 Sep.
Coracoid fractures are an uncommon injury and typically occur in the setting of high-energy trauma. Isolated injury to the coracoid is rare; therefore, a high suspicion for concomitant shoulder injuries should exist. These associated injuries have been shown to be acromioclavicular dislocations, clavicular and acromial fractures, scapular spine fractures, rotator cuff tears, and anterior shoulder dislocations. Although most of these shoulder injuries respond to nonsurgical treatment, there are case reports and literature reviews that present more complicated injuries requiring surgical intervention. Shoulder dislocations with associated coracoid fractures can also manifest glenoid bone loss resulting in continued instability. In this scenario, the fractured coracoid can be used to address the glenoid bone loss, as well as the continued instability. Regarding technique, other authors have described an open procedure with screw or anchor fixation. This Technical Note describes our technique for treating a displaced Ogawa type II coracoid process fracture with concomitant anterior shoulder dislocation by an arthroscopic Latarjet procedure using the fractured coracoid.
喙突骨折是一种少见的损伤，通常发生于高能量创伤的情况下。孤立的喙突损伤很少见；因此，应高度怀疑合并有肩部损伤。已证实这些相关损伤包括肩锁关节脱位、锁骨和肩峰骨折、肩胛冈骨折、肩袖撕裂以及肩关节前脱位。尽管这些肩部损伤大多对非手术治疗有效，但有病例报告和文献综述显示存在需要手术干预的更复杂损伤。合并喙突骨折的肩关节脱位也可表现为关节盂骨质丢失，导致持续不稳定。在这种情况下，骨折的喙突可用于处理关节盂骨质丢失以及持续的不稳定。关于技术，其他作者描述了一种采用螺钉或锚钉固定的开放手术。本技术说明描述了我们通过关节镜下使用骨折的喙突进行Latarjet手术治疗伴有肩关节前脱位的移位型小川II型喙突骨折的技术。
