Open AccessSalter-Harris Type 1 coracoid process fracture in a rugby playing adolescent
Author(s) -
George W V Cross,
Peter Reilly,
Monica Khanna
Publication year - 2018
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20180011
Subject(s) - coracoid process , coracoid , acromioclavicular joint , medicine , fracture (geology) , return to sport , coracoclavicular ligament , surgery , orthodontics , scapula , physical therapy , geology , geotechnical engineering , athletes
Fractures of the coracoid process are uncommon and when they do occur, are often mistaken for injuries to the acromi oclavicular joint. We report a case of a 15-year-old boy who sustained a Salter-Harris Type 1 fracture through his coracoid process alongside strain of the acromioclavicular and coracoclavicular ligaments. Additional imaging, specifically MRI, was critical in both correctly identifying this injury as a coracoid process fracture and also in determining that conservative management was the best course of action. Optimum management of such injuries remains controversial, specifically with regards to skeletally immature patients. In our case, the injury was identified clearly on MRI and managed conservatively, with the patient making a full recovery and a return to contact rugby after 3 months.