| Abstract ID |
| 20260092 |
| Category |
| Shoulder: Fracture |
| Preferable Presentation |
| Poster |
| Title |
| STRESS FRACTURE OF THE CORACOID PROCESS IN A RECREATIONAL GOLFER: A CASE REPORT |
| Author |
|
| Presenter |
| Trai Promsang |
| Abstract |
| Background Coracoid fractures are rare, accounting for less than 1% of all fractures and usually resulting from high-energy trauma. Stress fractures of the coracoid, especially in association with sports like golf, are exceedingly uncommon. The coracoid serves as an attachment point for several muscles and ligaments that play crucial roles in shoulder stability. Repetitive traction and muscle forces, as seen during golf swings, may predispose to microtrauma and eventual stress fracture in predisposed individuals. Objectives To report a rare case of coracoid stress fracture in a recreational golfer and highlight its clinical presentation, imaging findings, and outcome after conservative treatment. Study design - Case report Results We present the case of a 45-year-old male recreational golfer who developed a coracoid stress fracture without any traumatic incident. He was a beginner golfer and had been practicing golf for six months. Shoulder pain developed after repeated practice with forceful backswing and downswing. The patient presented with right anterior shoulder pain persisting for two months. Physical examination revealed localized tenderness over the coracoid process. Plain radiographs were normal. However, MRI revealed a non-displaced fracture at the base of the coracoid process with surrounding bone marrow edema. Management was non-operative, consisting of NSAID, rehabilitation, and activity modification. After four months of conservative treatment, the patient was able to return to golf with no pain and a normal swing. Conclusions This case highlights a rare cause of shoulder pain in golfers and emphasises the importance of considering coracoid stress fractures in the differential diagnosis when patients present with persistent anterior shoulder pain despite normal radiographs. |