Coracoid impingement syndrome is a less common cause of shoulder pain. Symptoms are presumed to occur when the subscapularis tendon impinges between the coracoid and lesser tuberosity of the humerus. Coracoid impingement should be included in the differential diagnosis when evaluating a patient with activity-related anterior shoulder pain. It is not thought to be as common as subacromial impingement, and the possibility of the coexistence of the two conditions must be taken into consideration before treatment of either as an isolated process. If nonoperative treatment fails to relieve symptoms, surgical decompression can be offered as an option.
Coracoid impingement syndrome is a rare cause of anterior shoulder pain. It is mainly a diagnosis of exclusion after considering the more common subacromial impingement. We describe a case of coracoid impingement and a novel approach to its management: coracoid osteotomy as opposed to the more commonly used technique of coracoplasty. A review of the literature is also presented in relation to this condition. Coracoid osteotomy with internal fixation allows good stability with reliable direct bone-to-bone healing. Coracoid osteotomy is a reliable and a satisfactory alternative to the more commonly-used technique of coracoplasty for the treatment of idiopathic coracoid impingement syndrome.
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