32 studies met the inclusion criteria, of these two were systematic reviews and one was a meta-analysis (only dealing with operative management), the other 29 articles were all case series (EBM level 4) (Figure 1). A …show more content…
Nine patients (11 fractures) were operated (8 males, 1 female). The age at presentation ranged from 19- 52 years, and the time of surgery was 1-15 days (mean 7 days). The follow up ranged from 12-77 months. The results were satisfactory in all patients. In contrast, Ada et al 1, have analysed the results of non-operative management of 16 patients with similar fractures and concluded that the results were non satisfactory in up to 50% of patients.
Fracture of coracoid with acromion
Anavian et al 3 analysed results of operative management for fractures involving both coracoid and acromion. In total, there were 26 patients (21 males, 5 females). The mean age at presentation was 36 (18- 67) years and the follow up data was available only for 13 patients. The follow up duration was 12 – 42 months, but there was no data on time of surgery. In addition the postoperative rehabilitation included active assisted and passive movements until 1 month. All patients (100%) had acceptable