Traumatic Fracture of the Coracoid Process and the Neck of the Scapula in a Rugby Athlete: A Case Report
DOI:
https://doi.org/10.25759/spmfr.402Keywords:
Athletic Injuries, Scapula/injuries, Shoulder Joint/rehabilitationAbstract
Introduction: The fracture of the coracoid process associated with a fracture in another location of the scapula is rarely described in the literature.
Case Report: The authors present a case report of a 22- year-old male patient that suffered a fracture of the coracoid process with concurrently neck scapular fracture, in the context of a high-energy trauma of the upper limb during a rugby match. He was submitted to a surgical procedure that consisted in open reduction and placement of osteosynthesis material. Subsequently, in the initial assessment of physical medicine and rehabilitation (PMR), he showed: muscle amyotrophy in the shoulder region; active range of movement (aROM) and passive range of movement (pROM) limitation, in all axes of movement; and pain associated with movement. The patient underwent rehabilitation treatment aimed at correcting the scapulothoracic rhythm, recovering muscle strength and functional recovery, with good results.
Conclusion: The authors highlight the importance of early diagnosis and the role of rehabilitation in the athlete’s clinical and functional recovery.
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References
Mohammed H, Skalski MR, Patel DB, Tomasian A, Schein AJ, White EA, et al. Coracoid process: The lighthouse of the shoulder. Radiographics. 2016;36:2084–101.
Matsen FA. Shoulder surgery: principles and procedures . In: Matsen FA, Lippitt SB, DeBartolo SE, editors. Philadelphia: Saunders; 2004. p.744.
Gray H, Carter HV. Gray’s Anatomy. 41st ed. Amsterdam: Elsevier; 2015.
Cole PA, Freeman G, Dubin JR. Scapula fractures. Curr Rev Musculoskelet Med. 2013;6:79– 87.
Ogawa K, Yoshida A, Takahashi M, Ui M. Fractures of the coracoid process. J Bone Joint Surg - Ser B. 1997;79:17–9.
Goss TP. The scapula: coracoid, acromial, and avulsion fractures. Am J Orthop. 1996;25:106-15.
Oostveen D, Temmerman O, Burger B, Noort V, Robinson M. Glenoid fractures: a review of pathology, classification, treatment and results. Acta Orthop Belg. 2014;80:88–98.
Tornetta P; Ricci WM, Ostrum RF. M. Rockwood and Green’s Fractures in Adults. 9th ed.Berlin: Lippincott Williams & Wilkins; 2019.
Li J, Sun W, Li G dong, Li Q, Cai Z. Fracture of the coracoid process associated with acromioclavicular dislocation: a case report. Orthop Surg. 2010;2:165–7.
Scavenius M, Sloth C. Fractures of the scapula. Acta Orthop Belg. 1996;62:129–32.
Ropp A, Davis D. Scapular Fractures: What Radiologist Need to Know. Am J Roentgenol. 2015;205:491–501.
Williams G, Naranja J, Klimkiewicz J, Karduna A, Iannotti J, Ramsey M. The floating shoulder: a biomechanical basis for classification and management. J Bone Joint Surg. 2001;83:1182–7.
Kannan S, Singh H, Pandey R. A systematic review of management of scapular fractures. Acta Orthop Belg. 2018;84:497–508.
Berritto D, Pinto A, Russo A, Urraro F, Laporta A, La Porta M, et al. Scapular fractures: A common diagnostic pitfall. Acta Biomed. 2018;89:102–10.
Vaienti E, Pogliacomi F. Delayed diagnosis of isolated coracoid process fractures: Results of 9 cases treated conservatively. Acta Biomed. 2012;83:138–46.
Hess F, Zettl R, Smolen D, Knoth C. Decision-making for complex scapula and ipsilateral clavicle fractures: a review. Eur J Trauma Emerg Surg. 2019;45:221–30.
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