Fracture separation of the coracoid process associated with acromioclavicular dislocation: conservative treatment--a case report and review of the literature
Lasda, N.A.; Murray, D.G.
Clinical Orthopaedics and Related Research 1978(134): 222-224
1978
ISSN/ISBN: 0009-921X PMID: 365413 Document Number: 138989
Complete acromioclavicular dislocation associated with fracture separation of the base of the coracoid process is uncommon. This is a report of a 51-year-old man with severe emphysema and limited physical demands in whom the acromioclavicular dislocation and coracoid process fracture were treated conservatively with sling immobilization and early motion and exercises. Good power and full, painless range of motion with minimal symptoms was observed at 6 months follow-up. The strong coracoclavicular ligaments, rather than rupture, may avulse the coracoid process near its base and with disruption of the acromioclavicular joint may allow complete dislocation of the clavicle. A satisfactory result may be obtained without operative reduction of either the acromioclavicular joint or the coracoid process.