Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Scapula Body and processes, coracoid

back to skeleton

Glossary

General considerations

Due to the displacement forces of the arm, the coracoid is most often treated operatively.

Nonoperative treatment
Main indication Skill Equipment
Non displaced fractures and no additional lesions to the shoulder girdle Basic surgical experience, no specialized skills Basic equipment only


Advantages

  • No operative risks
  • No anaesthetic  risk

Disadvantages

  • Increased frequency of X-ray follow up

Contraindication

  • Additional lesion of the LSSS or other fractures of the shoulder girdle
ORIF - Lag screw fixation
Main indication Skill Equipment
Displaced fractures and associated injuries to the shoulder girdle. Some specialized surgical experience Basic equipment only


Supporting indications

  • Need for more stability and/or earlier mobilization

Advantages

  • Reduced risk of displacement
  • Earlier mobilization possible

Disadvantages

  • Possible need for hardware removal
  • Risk of nerve injury to the supra scapular nerve.
  • Screw placement may be difficult

Contraindications

  • Patient unfit for surgery
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

1.0