Radiographic and clinical characterization of coracoid fractures: a retrospective cohort analysis

• Published in: European journal of orthopaedic surgery & traumatology 2022-12, Vol.32 (8), p.1601-1607
• Main Authors: Ben-Ari, Erel, Pines, Yaniv, Gordon, Dan, Zuckerman, Joseph D., Petchprapa, Catherine, Virk, Mandeep S.
• Format: Article
• Language: English
• Subjects: Body mass index; Classification; Clinical outcomes; Cohort analysis; Electronic health records; Medical records; Medicine; Medicine & Public Health; Original Article; Orthopedics; Sports injuries; Surgery; Surgical Orthopedics; Trauma; Traumatic Surgery
• ISSN: 1432-1068; 1633-8065; 1432-1068
• DOI: 10.1007/s00590-021-03144-4

Purpose Coracoid fracture is a rare injury. The aim of this study is to present the demographics, clinical and radiologic characteristics, and outcomes of coracoid fracture in a cohort of 32 patients. Methods We queried our institutional electronic medical record database (years 2012–2020) to identify patients with coracoid fractures using specific International Classification of Disease-10 codes. Demographic data, injury details including mechanism of injury and associated injuries, imaging performed, and treatment outcomes were obtained from retrospective chart review. A radiologist reviewed all available imaging studies (radiographs/CT/MRI) and classified the fractures according to Ogawa and Eyres classifications. Missed diagnoses were determined by comparing initial imaging reports with the follow-up imaging obtained in the office. Results Thirty-two patients with coracoid fractures were identified during the study period. Sixteen fractures (50%) occurred in the setting of low-energy trauma. Twelve fractures were missed on initial radiographs, and diagnosis with three-view radiographs (AP, scapular-Y and axillary) was 88% compared to 33% ( p