Giotis Dimitrios, Konstantinidis Christos, Plakoutsis Sotiris, Vardakas Dimitrios, Konstantinou Alkisti
Department of Orthopaedics, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Cureus. 2025 Apr 4;17(4):e81709. doi: 10.7759/cureus.81709. eCollection 2025 Apr.
Coracoid process fractures are rare injuries that can be overlooked, especially when they occur in isolation or alongside soft tissue damage. This case report describes a unique clinical presentation involving a displaced coracoid process fracture with a concomitant massive rotator cuff tear following high-energy trauma. The diagnostic process required a multimodal imaging approach to accurately assess both bony and soft tissue structures, which was critical in formulating an effective treatment plan. Surgical management involved open reduction and internal fixation of the coracoid fracture through a deltopectoral approach, followed by a mini-open lateral approach for rotator cuff repair using suture anchors. Postoperative rehabilitation was structured in progressive phases to support tendon healing and functional recovery. The patient achieved full, pain-free range of motion and radiographic union by six months post-surgery. This case underscores the need for heightened clinical awareness when evaluating anterior shoulder trauma and demonstrates that a dual surgical approach, tailored to address both osseous and soft tissue injuries, can yield excellent outcomes. Reporting such rare cases contributes to the evolving understanding and management strategies for complex shoulder injuries involving the coracoid process and rotator cuff.
喙突骨折是一种罕见的损伤，容易被忽视，尤其是当它单独发生或伴有软组织损伤时。本病例报告描述了一种独特的临床表现，即高能创伤后出现移位的喙突骨折并伴有巨大的肩袖撕裂。诊断过程需要采用多模态成像方法来准确评估骨骼和软组织结构，这对于制定有效的治疗方案至关重要。手术治疗包括通过三角肌胸大肌入路对喙突骨折进行切开复位内固定，随后采用小切口外侧入路使用缝合锚钉修复肩袖。术后康复分阶段进行，以支持肌腱愈合和功能恢复。患者在术后六个月实现了完全无痛的活动范围和影像学愈合。该病例强调了在评估肩部前部创伤时提高临床意识的必要性，并表明针对骨骼和软组织损伤量身定制的双重手术方法可产生优异的治疗效果。报告此类罕见病例有助于加深对涉及喙突和肩袖的复杂肩部损伤的理解以及改进管理策略。
