2008年6月29日星期日

Coracoid process fracture

Beaked fracture is rare. Shoulder can cause serious violence beak fracture. Shoulder dislocation, the coracoclavicular ligament stretch or strong Strong muscle contraction (beak brachial muscle and biceps short head) may have coracoid process avulsion fracture. Before the shoulder dislocation, due to the impact humeral head, Coracoid process can cause fractures. Fractures occurred in the general process of beak at the bottom. Ligament or muscle pull caused by fractures can occur more pronounced shift. After the partial fracture of a breach of tenderness, because of fractures in the deeper parts, not touching fracture of unusual activity or bone fricative. Anti-resistance, and to shoulder Elbow flexion, the pain increased, is due to muscle pull fractures caused by block. Breathing deeply, because small chest muscle pull而使pain increased. Because of brachial plexus Coracoid process, from the bottom passed, medical attention should be paid nerve function in check. Shoulder-before and after the X-ray film, the coracoid process and the glenoid shoulder, shoulder or humeral head shadow of overlap, so easily missed. Head tilted to 30 ° Kok radiography. Coracoid process can be clearly shows that the projection. Axillary-X-ray examination in the diagnosis also coracoid process fractures of great value. Read X-ray film should pay attention to a coracoid process When Deputy ossification center. Deputy ossification center can be located in the basement of the medial coracoid process, sometimes at the top of coracoid process, and the need to fracture of the coracoid process Kam Do not.

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