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April 28, 2026CureusOpen Access

Low‑Energy Fall With High‑Impact Consequences: A Case Report and Biomechanical Literature Review of Ogawa Type I Coracoid Process Avulsion Fracture With Acromioclavicular Joint Dislocation

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Authors

JUJhenica UthayakumaranNANeil AshwoodSRShahmeen Rasul

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Overview

Case report highlights unique coracoid process injury following low-energy fall, emphasizing imaging and surgical intervention importance.

Key Points

  • To report a rare case of Ogawa type I coracoid process avulsion fracture with AC joint dislocation and discuss its biomechanical implications.
  • Case report of a 36-year-old male with low-energy mechanical fall injury.
  • Imaging performed included initial radiographs and CT scans for detailed assessment.
  • Operative management involved open reduction and internal fixation with a cannulated lag screw and AC joint stabilisation.
  • Initial radiographs showed AC joint displacement with an associated coracoid fragment.
  • CT imaging confirmed a displaced basal fracture involving the coracoclavicular ligament's origin.
  • Surgical intervention restored stability through internal fixation and ligamentous continuity.

Cite This Study

Uthayakumaran et al. (2026) studied this question.

synapsesocial.com/papers/69f04e9b727298f751e72884https://doi.org/10.7759/cureus.107731
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Unusual Pattern of Acromioclavicular Joint Instability With Coracoid Base Fracture2026
  2. 2Avulsion fracture of the coracoid process at the coracoclavicular ligament attachment associated with distal clavicle fracture: A case report2026
  3. 3Arthroscopic reduction and hollow screw internal fixation for Eyres Type IIIA scapular coracoid fracture: a case report2024 · 2 citations
  4. 4Neglected acromioclavicular joint injury in coracoid process fractures: a retrospective cohort study2026
  5. 5Combined Clavicular Hook Plate and Coracoid Screw Fixation for Coracoid Process Fractures Associated with Acromioclavicular Joint Dislocation2026