Citation

Wollstein J, Tegtbur U, Meller R, Hanke AA, Berndt T, Krettek C, Weber-Spickschen TS. Unfallchirurg 2019; 122(1): 79-82.

Vernacular Title

Isolierte Fraktur des Processus coracoideus bei einem 14-jährigen Wasserballnationalspieler : Fallbeispiel.

Affiliation

Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00113-018-0547-y

PMID

30167719

Abstract

BACKGROUND: Isolated fractures of the coracoid process during sporting activities are very rare. There are a few case studies and retrospective studies with low numbers of cases.

OBJECTIVE: Presentation of an initially neglected fracture and conservative treatment.

METHODS: Case study of a 14-year-old national water polo player with a non-dislocated fracture of the coracoid process and conservative therapy using focused shockwave therapy.

RESULT: Return to sports after conservative therapy was after 13 weeks and return to competitive sport after 14 weeks.

CONCLUSION: In cases with therapy refractory shoulder pain after trauma and unremarkable native X‑ray, extended 3D imaging by magnetic resonance imaging (MRI) or computed tomography (CT) should be done early. Conservative therapy of a non-dislocated fracture in this case showed a good outcome.

Language: de

Keywords

Athlete; Conservative; Coracoid; Fracture; Shock wave