Surgical management of multiple damages of superior shoulder suspensory complex disruptions with coracoid fracture

Abstract Background Multiple damages of the superior shoulder suspensory complex (SSSC) with coracoid fracture are exceedingly rare. Two or more site injuries of the SSSC frequently leads to delayed union, non-union and suffered motor dysfunction. Currently, the optimal surgical protocol has not been determined. This article reports our therapy approaches and clinical outcomes. Methods From January 2020 to June 2022. We treated 9 patients who had at least 3 injuries of SSSC and all with coracoid fracture. None of the patients had sustained concomitant injuries such as brachial plexus injury or rib fracture. All patients were treated with open reduction and internal fixation and coracoid fractures were reduced and fixed. The Visual Analgesia Score (VAS), American Shoulder and Elbow Surgeons (ASES) Score and Range of Motion (ROM) score were used to evaluation of postoperative recovery at the time of the last follow-up. Conclusion In conclusion, the manifestations of multiple SSSC disruptions with coracoid fracture are variable. A variety of surgical modalities for treating such injuries have been reported in the previous literature. In this article we introduce a novel, reliable surgical technique to treat such injuries.