Clinical Scorecard: Evaluation of Arthroscopic Cannulated Screw Fixation for Fractures of the Coracoid Process

At a Glance

Key Highlights

• Arthroscopy group showed less intraoperative blood loss and shorter hospitalization.
• Significant postoperative improvement in pain and shoulder function in the arthroscopy group.
• No significant differences in screw placement accuracy between groups.
• Both groups had comparable operative duration and fracture healing time.
• Concurrent treatment of associated shoulder pathologies was possible with arthroscopy.

Guideline-Based Recommendations

Diagnosis

• Imaging examinations to confirm coracoid process fracture displacement ≥1 cm.

Management

• Minimally invasive arthroscopic treatment preferred for coracoid fractures with associated injuries.

Monitoring & Follow-up

• Evaluate postoperative outcomes using VAS, Constant-Murley, and UCLA scores.

Risks

• Potential for neurovascular injuries or infections, though not observed in this study.

Patient & Prescribing Data

17 patients with coracoid process fractures treated between January 2020 and October 2025.

Arthroscopic treatment resulted in superior early postoperative outcomes compared to open surgery.

Clinical Best Practices

• Consider arthroscopic approach for coracoid fractures to minimize blood loss and hospitalization.
• Ensure accurate screw placement through careful surgical technique.
• Monitor for associated shoulder injuries during treatment.

Related Resources & Content

• Study on arthroscopic treatment of coracoid fractures