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- Title
Radiographic and clinical characterization of coracoid fractures: a retrospective cohort analysis.
- Authors
Ben-Ari, Erel; Pines, Yaniv; Gordon, Dan; Zuckerman, Joseph D.; Petchprapa, Catherine; Virk, Mandeep S.
- Abstract
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 < 0.03) with two views (AP, scapular-Y). The majority of fractures were non-displaced (94%), and 56% were Ogawa Type-II fractures. Associated injuries were seen in 81% of patients. Most fractures (94%) were treated without surgery with excellent outcomes. Conclusion: Coracoid fractures continue to be a rare injury. In contrast to previous studies, in this case series of 32 patients, half of the fractures were associated with low-energy trauma, which correlated with higher percentage of non-displaced fractures and Ogawa Type-II fractures. Addition of the axillary view in the trauma radiographic series significantly improved the initial fracture detection rate. Level IV: Retrospective study.
- Subjects
DIAGNOSIS of bone fractures; AVULSION fractures; NOSOLOGY; ANALYSIS of variance; RETROSPECTIVE studies; ACQUISITION of data; TREATMENT effectiveness; SCAPULA; MEDICAL records; DESCRIPTIVE statistics; ACROMIOCLAVICULAR joint; DATA analysis software; BONE fractures; LONGITUDINAL method
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2022, Vol 32, Issue 8, p1601
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-021-03144-4