Coracoid fractures are typically associated with more complex fractures of the scapula, and/or clavicle, and may also involve the suspensory ligament complex.
Coracoid base fractures should be differentiated from tip fractures as the surgeon needs to establish the exact location of the fracture line in relation to the coracoclavicular ligaments (coracoclavicular: trapezoideum, conoideum) and the inserted tendons (short caput of the biceps/coracobrachialis).
Any disrupted ligaments are treated as described in the section of LSSS.
The coracoid projects anteriorly and inferiorly with a curved undersurface. The coracoid is divided into three parts, the middle part is flat, the anterior part bends forwards and downwards, and the posterior part runs to the base. This particular anatomical configuration must be kept in mind when screw fixation is used.