Study on the anatomic relationship between the clavicle and the coracoid process using computed tomography scans of the shoulder.

Abstract:

BACKGROUND:The current trend in the treatment of acromioclavicular dislocations is to reconstruct the coracoclavicular ligaments by using transosseous tunnels in the coracoid process or in the clavicle, yet there is no definition as to the location of these. To study the anatomic relationship between the coracoid process and the clavicle, we made measurements to find a convergence point (cP) between them that has intraoperative applicability for creating transosseous tunnels. METHODS:We analyzed 74 computed tomography scans (40 female and 34 male patients). Measurements were taken in the axial and sagittal planes and obtained from a cP, as determined by the intersection of the cortical surface of the clavicle and the coracoid process, with various relationships having been established. RESULTS:On average, the cP was determined to be about 2.9 cm and 2.5 cm distant from the coracoid process apex for male and female patients, respectively, whereas the width at this position was determined to be 2.1 cm and 1.9 cm. In the clavicle, this point is on average 2.9 cm and 2.5 cm distant from the acromioclavicular joint in male and female patients, respectively, and its anteroposterior width at this point is on average 1.9 cm and 1.6 cm. CONCLUSION:The cP of the clavicle and the coracoid process was determined with the aim of preparing bone tunnels in operations for treating acromioclavicular dislocations.

journal_name

J Shoulder Elbow Surg

authors

Sella GDV,Miyazaki AN,Nico MAC,Filho GH,Silva LA,Checchia SL

doi

10.1016/j.jse.2017.03.033

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

1740-1747

issue

10

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(17)30213-6

journal_volume

26

pub_type

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