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Coracoid stress fracture in an elite fast bowler: description of a technique for CT-guided percutaneous screw fixation of coracoid fractures

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Abstract

Coracoid stress fractures are a rare sports injury but present a management challenge, with the focus on optimising return-to-play, whilst minimising complications. Potential contributing mechanisms for the injury are briefly discussed and a novel approach to accurate fracture fixation under CT guidance is described. The ability of radiologists to orient themselves in 3D with a volume dataset on a workstation provides an image-guided option for percutaneous fixation that minimises risk of complications.

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Acknowledgements

The authors wish to thank physiotherapist TJ Malherbe for her valuable input.

Thanks also go to Prof. Stephen Roche, the orthopaedic surgeon involved.

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Authors and Affiliations

  1. Oxford Musculoskeletal Radiology, Oxford, UK

    Graeme Thompson

  2. Cape Radiology, Cape Town, South Africa

    Andrew Van Den Heever

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  1. Graeme Thompson
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  2. Andrew Van Den Heever
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Correspondence to Graeme Thompson.

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Video 1

Axial series demonstrating the final position of the cannulated screw introduced over the K-wire with its tip securely in the scapular cancellous cavity. (MOV 2267 kb)

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Thompson, G., Van Den Heever, A. Coracoid stress fracture in an elite fast bowler: description of a technique for CT-guided percutaneous screw fixation of coracoid fractures. Skeletal Radiol 48, 1611–1616 (2019). https://doi.org/10.1007/s00256-019-03184-2

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  • DOI: https://doi.org/10.1007/s00256-019-03184-2

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