Isolated fracture of the coracoid’s process base 9-years after a Latarjet procedure: A novel case report

Abstract

Coracoid fractures (CF) are relatively uncommon injuries and in most cases are associated with other concomitant lesions to the superior shoulder suspensory complex (SSSC). As far to the authors’ knowledge, there are no reports of an isolated acute fracture of the base of the coracoid process, years after Latarjet procedure. The authors present the case of a 51-year-old male and non-professional cyclist, with a history of left shoulder Latarjet procedure 9-years ago, sustained a high energy trauma to the left anterior shoulder. Imaging studies revealed a non-displaced fracture to the base of the reminiscent of the coracoid’s process, without other associated injuries to the SSSC or to the coracoid’s graft. A conservative treatment was approached. 1-year after CF, the patient is asymptomatic with CT scan confirming healing of the fracture in an adequate position. Despite very rare, fracture of the reminiscent of coracoid process should always be ruled out after a direct high energy trauma to the anterior shoulder, in patients with previous Latarjet procedure.