Millán DG, Pineda COP, Rosas MR

Language: Spanish
References: 11
Page: 533-537
PDF size: 870.00 Kb.

ABSTRACT

Introduction: fractures of the coracoid base associated with acromioclavicular joint injuries are rare, and their optimal surgical management remains controversial. Simultaneous restoration of the superior shoulder suspensory complex is essential for adequate functional recovery. Material and methods: a case series of five male patients (mean age: 24 years) with coracoid base fracture and acromioclavicular joint injury treated with hook plate fixation was analyzed. Clinical, radiographic, and functional outcomes were assessed using the Constant-Murley score over a six-month follow-up. Results: all patients achieved complete bone union, satisfactory joint congruence, and significant functional improvement, with an average Constant-Murley score of 87 points. No major complications were reported, and plate removal between the third and fourth postoperative month promoted recovery of shoulder motion. Conclusion: hook plate fixation is an effective and safe technique for the combined treatment of coracoid base fractures and acromioclavicular joint injuries, allowing stable healing and early functional restoration.

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