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September 8, 2021The American Journal of Sports Medicine

Coracoid or Clavicle Fractures Associated With Coracoclavicular Ligament Reconstruction

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Authors

NPNicholas M PanarelloDCDonald F. ColantonioCHColin J. Harrington

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Overview

Case series observes clavicle or coracoid fractures in 2.46% of military patients undergoing coracoclavicular ligament reconstruction, indicating significant risks of persistent duty-limiting...

Key Points

  • To determine the incidence, risk factors, and clinical outcomes of distal clavicle and coracoid process fractures following coracoclavicular ligament repair or reconstruction.
  • Retrospective review of military electronic health records identifying patients undergoing primary coracoclavicular ligament repair or reconstruction (N = 896) between October 2013 and March 2020.
  • Evaluated patient demographics, operative reports, and imaging for intraoperative and postoperative fractures, drill tunnel locations, and revision treatments.
  • Fractures occurred in 20 patients (22 total fractures: 12 coracoid, 10 clavicle; 1 intraoperative, 21 postoperative), representing a rate of 2.46 per 100 cases (3.81 fractures per 1,000 person-years).
  • Bone tunnels were not drilled in the fractured bone in 5 patients, and 17 of 22 fractures required surgical management with open reduction and internal fixation or revision reconstruction.
  • Among 16 active-duty servicemembers who sustained fractures, 11 were unable to return to full military duty due to residual shoulder pain, joint asymmetry, or weakness.

Cite This Study

Panarello et al. (2021) studied this question.

synapsesocial.com/papers/6a93d1fda0db6e712b871d2chttps://doi.org/10.1177/03635465211036713
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Also Consider

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

  1. 1Poster 130: Incidence and Treatment Characteristics of Coracoclavicular Ligament Injuries with Associated Lateral Clavicle Fractures in a Military Population2024
  2. 2Mid- to Long-term Outcomes of Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Dislocations: A Systematic Review of Studies With Minimum 5-Year Follow-up2026
  3. 3Avulsion fracture of the coracoid process at the coracoclavicular ligament attachment associated with distal clavicle fracture: A case report2026
  4. 4Acromioclavicular Dislocations. A Novel Surgical Technique for biological reconstruction of coraco-claviculer ligaments2024
  5. 5More Fixation, Better Outcome? Evaluating the Role of Additional Acromioclavicular Ligament Reconstruction in AC Joint Injuries: A Multicenter Analysis2025 · 2 citations