• Der Unfallchirurg · Jan 2019

    Case Reports

    [Isolated fracture of the coracoid process in a 14-year-old national water polo player : Case example].

    • Johannes Wollstein, Uwe Tegtbur, Rupert Meller, Alexander A Hanke, Thomas Berndt, Christian Krettek, and Thomas S Weber-Spickschen.
    • Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg Str. 1, 30625, Hannover, Deutschland. Johannes.wollstein@krh.eu.
    • Unfallchirurg. 2019 Jan 1; 122 (1): 79-82.

    BackgroundIsolated 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.ObjectivePresentation of an initially neglected fracture and conservative treatment.MethodsCase 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.ResultReturn to sports after conservative therapy was after 13 weeks and return to competitive sport after 14 weeks.ConclusionIn 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.

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