Home

Coracoid process swollen

Examination revealed a tender, bony, hard swelling measuring 3×4 cm. Imaging revealed an expansile osteolytic lesion arising from the coracoid process with loss of corticomedullary differentiation. MRI showed altered signal in the adjacent soft tissues. The patient underwent en bloc resection of the lesion Purpose: the present prospective open-label study was designed to gain further insights into a condition thought to constitute a neglected but not uncommon syndrome characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process, not related to rotator cuff or pectoralis minor tendinopathy, long head of the biceps tendon disorders, or instability The rotator cuff interval is directly subjacent to the coracoid process and is defined as a triangular space bounded by the base of the coracoid process, the supraspinatus tendon poste - riorly, and the subscapularis tendon inferiorly. It is covered by a capsule whose main component is the coracohumeral liga-ment

Symptoms of coracoid impingement syndrome include anterior shoulder pain, occasionally radiating down the upper arm/forearm. Shoulder impingement signs are negative. Pain is made worse with passive flexion. On palpation there is tenderness over the coracoid process The coracoid process is an anterior extension of the scapula that varies considerably in height and length. This individual variation creates differences in the shape and the size of the space between the coracoacromial arch and the rotator cuff (4,5), which explains the potential congenital cause of SCI (6,7) The short head tendon attaches your bicep to a bump on your shoulder blade called the coracoid process. A third tendon attaches your bicep to your radius, which is one of the bones in your.. The coracoid process is a small knob of bone at the top of the scapula, or shoulder blade. It extends outward from the top of the back of the shoulder blade and pokes out underneath the clavicle, or collarbone, on the front of the shoulder. When the word process is used to describe parts of bones, it means something that sticks out

Osteoblastoma of the coracoid process: an unusual location

Subcoracoid Bursa: between the coracoid process of the scapula and the shoulder joint capsule. The subacromial and the subdeltoid bursa are often taken as a single bursa, the subacromial deltoid bursa. Bursitis is typically identified by localized pain and/or swelling, tenderness, and pain with motion of the tissues in the affected area. X. Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain

Four cases of fracture of the coracoid process of the scapula are reported. Different mechanisms of injury resulted in different types of fracture. In the first case the injury resulted from a direct fall on the involved shoulder and the fracture was through the base of the coracoid. On examination the shoulder was swollen and had reduction. Structure and Function. The acromioclavicular joint is the articulation between the distal clavicle and the acromion process of the scapula (Figure 1). Figure 1: An AP view of the shoulder, showing the acromion (Acr), clavicle and the AC joint. Also labeled are the humeral head (HH), the glenoid, the coracoid process (Cor) and the spine of the. This clinical case is about a female which presents with recurrent swelling, pain, numbness, and tingling of the upper extremity due to an obstruction of the neurovascular bundle by the pectoralis minor muscle. Find out the route to diagnosis and all the anatomical considerations related to this case in this article

When the bursa becomes swollen, the sac itself can develop little tears and may cause tears to the surrounding soft tissue. In some cases, the inflamed bursa also becomes infected with bacteria (referred to as septic bursitis) and it is necessary to see a doctor to get rid of the infection. There are 3 main bursae around the rotator cuff A coracoid is the bony protrusion of the scapula bone. Also known as the coracoid process, the coracoid is a bony protrusion of the scapula, or shoulder blade, that is integral to the structure of the shoulder joint. Its name is derived from the Greek word korax, which means raven, and the coracoid curves forward from the top outside edge of. Albeit rare, a coracoid process fracture is an injury that can be missed, when combined with an acromioclavicular joint dislocation. Clinical attention is easily drawn to the more obvious ACJ dislocation, hence, the need for further radiological evaluation Pain, swelling, and bruising may occur over the shoulder blade in the upper back or on the top of the shoulder overlying the coracoid and acromion processes. Other signs of a broken shoulder blade..

Shoulder Joint:Anatomy,Movement & Muscle involvement » How

Coracoid syndrome: a neglected cause of anterior shoulder

  1. Plain radiographs of the shoulder showed increased bony density in the region of the scapular neck on the anteroposterior view (Fig 1) and a sharply demarcated lesion in the base of the coracoid..
  2. DEFINITION--A complete or incomplete break in the coracoid process of the scapula (shoulder blade). BODY PARTS INVOLVED; Scapula. Shoulder joint. Soft tissue around the fracture site, including nerves, tendons, ligaments and blood vessels. {310} SIGNS & SYMPTOMS; Severe pain at the fracture site. Swelling of soft tissue around the fracture
  3. When this happens it is a condition known as an avulsion. Partial fiber separation can cause inflammation, or swelling, pain and changes in shoulder movement. If the separation is complete, where the coracoacromial ligament totally detaches from whether the coracoid process or the acromion, shoulder dysfunction and pain symptoms can be severe
  4. Biceps Tendinitis. Biceps tendinitis is an inflammation or irritation of the upper biceps tendon. Also called the long head of the biceps tendon, this strong, cord-like structure connects the biceps muscle to the bones in the shoulder. Pain in the front of the shoulder and weakness are common symptoms of biceps tendinitis

The scapula is a flat, triangular bone that links the axial skeleton to the upper extremity via only muscular attachments. The scapula provieds the origin and mechanical leverage for the deltoid muscle, the prime mover of the shoulder. There are two palpable, bony landmarks, the acromion and the coracoid process. Figure 1. Anterior, lateral. For the full series of shoulder examination tutorials, visit the AMBOSS Library: https://go.amboss.com/OrthoShoulderExamPalpation of the shoulder region incl..

The biceps has two tendons (long and short head) on the top that connect to the shoulder and one tendon at the base that attaches to the elbow. The long head articulates to the top of the shoulder at the glenoid socket and the short head connects to the shoulder blade at the coracoid process pain, swelling and dysfunction of the shoulder. On further evaluation there was visible swelling of the superior and anterior aspects of the shoulder without gross The coracoid process is a key connection between the scapula and the clavicle and an important anchor in the coracoacromial arch; it is part of the superior shoulder.

Bone tumours arising from the coracoid process of the scapula are very rare. We present a case of a 19-year-old man with left shoulder pain for 1 year, with associated infraclavicular swelling for 8 months. Examination revealed a tender, bony, hard swelling measuring 3×4 cm. Imaging revealed an expansile osteolytic lesion arising from the. Coracoid Impingement Syndrome and Coracoidopathy. This blog is probably only of interest to professionals since coracoid impingement syndrome (CIS) is thought to be a very rare, though important, shoulder pathology. CIS describes when the coracoid process is thought to physically impinge upon the lesser tuberosity of the humerus, pinching the. 1. J Plast Reconstr Aesthet Surg. 2019 Apr;72(4):609-615. doi: 10.1016/j.bjps.2019.01.014. Epub 2019 Jan 15. The coracoid process is supplied by a direct branch of the 2nd part of the axillary artery permitting use of the coracoid as a vascularised bone flap, and improving it's viability in Latarjet or Bristow procedures Coracoid fractures represent <<1% of all fractures and ~7.5% (range 2-13%) of scapular fractures 1. Pathology. In general, the coracoid process tends to fracture at its base and be minimally displaced. They have been divided into two types: type I: fracture proximal to the coracoclavicular ligamen

Coracoid Process: The Lighthouse of the Shoulde

  1. ©genius.com. 9/22/15. Three Muscles Attach to the Coracoid Process. Three muscles attach to the coracoid process, the little bony projection of the scapula that sticks out just inferior to the acromioclavicular joint.These are just three of myriad muscles that attach to some aspect of the shoulder blade
  2. Subacromial bursitis is an intense pain in your shoulder that gets worse when you move. Getting treatment early can help prevent long-term joint problems.. What Is It? All over your body there are.
  3. Glenohumeral joint injection Used for pain relief of shoulder arthritis and frozen shoulder affecting the shoulder.. Procedure Posterior Approach: The patient sits with their arm resting at their side with the shoulder in neutral rotation resting on their lap. The sulcus between the head of the humerus and acromion is identified. The needle is inserted 2-3cm inferior and medial to the.

Coracoid process transfer : CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH CORACOID PROCESS TRANSFER : 23466: Capsular shift/capsulorrhaphy for multidirectional instability : Capsulorrhaphy, glenohumeral joint, any type multi-directional instability : 23412: Open RCR - Chronic: Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chroni Posterior Approach. The needle () should be inserted 2 to 3 cm inferior to the posterolateral corner of the acromion and directed anteriorly in the direction of the coracoid process. As with any. The subcoracoid bursa sits between the coracoid process of the scapula and the shoulder joint capsule. The subacromial bursa is situated below the acromion process and above the greater tubercle of the humerus lessening the friction when you move your arm or raise it overhead

Swollen lymph nodes can be alarming, especially if the cause of the swelling is unclear. In most cases, however, swollen lymph nodes are a sign that the body's immune system is working well Coracoid Process Fracture in a High School Football Player Edwin E. Ryan, Jenna Doherty, and Lindsey Eberman Abstract : We presented a unique case of a high school athlete who suffered from a coracoid process fracture following a collision with an opposing player. This fracture is commonly misdiagnosed as a clavicular fracture or AC joint sprain

Surface Bony Landmarks | Medatrio

Coracoid Impingement - Humpal Physical Therap

Coracoid fractures are rare injuries, which may occur in isolation or in association with other shoulder pathology. The mechanism of trauma consists of a strong contraction of the conjoint tendon as a result of direct trauma. The diagnosis is usually difficult and many times overlooked, thereby requiring a high level of suspicion. In many cases, standard trauma series shoulder radiographs are. Coracobrachialis pain in the arm is the ache felt at the upper and middle part of the arm. Coracobrachialis is the smallest of the three muscle located at the shoulder joint. Rupture or strain of Coracobrachialis muscle can result in pain in the shoulder's front area and back of the upper arm and forearm A coracoid is a paired bone which is part of the shoulder assembly in all vertebrates except therian mammals (marsupials and placentals). In therian mammals (including humans), a coracoid process is present as part of the scapula, but this is not homologous with the coracoid bone of most other animals The coracoid process (from Greek κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula (hence: coracoid, or like a raven's beak). Pointing laterally forward, it, together with the acromion, serves to stabilize the shoulder joint

Easy Notes On 【Scapula】Learn in Just 4 Minutes! – Earth&#39;s LabIMAGING OF THE SHOULDER | Radiology KeyMusculus coracobrachialis || Med-koM

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. 2 Coracoid fractures are rarely seen fractures. In the shoulder girdle, coracoid process fractures generally accompany dislocation of the acromioclavicular joint or glenohumeral joint, scapula corpus, clavicula, humerus fracture, or rotator cuff tear. Coracoid fractures can be missed and the treatment for coracoid process fractures is still controversial. In this paper, a 34-year-old male manual. An X-ray of the left shoulder (Fig. 2) showed dual bone lesions: one arising from the base of the coracoid process and the other from superior lip of the glenoid.CT and MRI scans (Figs. 3 and 4) confirmed the diagnosis of osteochondroma of the coracoid and glenoid.The supraspinatus and bicep tendons (Fig. 4) were distorted and showed evidence of tendinopathy

Ask the patient to place the hand of the side you are examining on the contralateral shoulder and then push the elbow superiorly to compress the acromium against the lateral end of the clavicle. Flex the shoulder to 90 o with the elbow flexed to 90 o. Internally rotate the shoulder - pain is indicative of impingement Clinically speaking, the pectoralis minor muscle is the little brother of the pectoralis major muscle. Like all little brothers, the pectoralis minor wants to do everything that big brother does, so it's no surprise that trigger points in these two muscles have almost identical referred pain patterns

Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement.. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain.. Diagnoses Your shoulder is a ball-and-socket joint made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). There are two attachments of the biceps tendon at the shoulder joint. The head of your upper arm bone fits into a rounded socket in your shoulder blade. This socket is called the glenoid Bone marrow edema, often called bone bruising, is a microscopic fracture in the internal bone structure that leads to bleeding and inflammation within the marrow. Learn more about the causes, symptoms, and treatment options of bone marrow edema on the Orthopaedic Specialists blog today Avulsion fracture at the site of attachment of the coracoid process of the coracoclavicular ligament (CCL) is extremely rare. We presented three adult cases of this unusual avulsion fracture associated with other injuries. Case 1 was a 25-year-old right-handed male with a left distal clavicular fracture with an avulsion fracture of the coracoid attachment of the CCL; this case was treated.

Video: Coracoid Impingement Syndrome and Coracoidopathy - Spinal

Radiograph showing the apophyseal avulsion of the coracoid

Uncommon Injuries: Subcoracoid impingemen

  1. Palpate the sternoclavicular joint, the clavicle, the acromioclavicular joint, the acromion, the coracoid process, the head of the humerus, the greater tubercule and the spine of the scapula. Tenderness or swelling at the joints suggests an inflammatory process or dislocation, whilst tenderness at the bones may imply a fracture
  2. FIGURE 5-3 Coracoid process of the scapula: From the concavity at the lateral (distal) end of the clavicle, drop inferiorly off the clavicle to find the coracoid process of the scapula (located deep to the pectoralis major muscle). When palpating the coracoid process, notice that its apex (tip) points laterally
  3. Shoulder joint fracture includes fracture of proximal (close to shoulder joint) part of humerus, glenoid cavity, acromion, coracoid process, neck of scapula, body of scapula and clavicle bone. Glenohumeral joint is the ball and socket synovial joint
  4. The short head originates from the coracoid process along with the coracobrachialis muscle medial to the long head tendon. The distal tendon of the biceps muscle attaches to the radial tuberosity. The vast majority of biceps tendon ruptures occur at the proximal insertion and almost always involve the long head [ 1 ]
  5. 3)PALPATION OF SCAPULA First palpate the subcutaneous parts -spine of scapua - acromian process. The vertebral border and inferior angle can be easily palpated . Axillary border is difficult to palpate ,localised bony tenderness and swelling suggest fracture of scapula . The coracoid process situated1/2 inch below the clavicle at junction.
  6. Information collected on inspection are asymmetry, atrophy, ecchymosis, scars, swelling, and venous distention. Palpation can help find pain and deformities, and should specifically include the anterior glenohumeral joint, acromioclavicular joint, biceps tendon, cervical spine, coracoid process, scapula, and sternoclavicular joint

Torn Bicep Injury: Types, Causes, Symptoms, and Treatmen

The coracoid process of the scapula is an unusual location for any bone tumor. In a series of 243 bone tumors and tumor-like conditions of the scapula, only 18 cases involved the coracoid process, and a literature review revealed only 2 previous cases of osteosarcoma of the coracoid process, reported nearly 2 decades ago The coracoid process is an osseous structure that arises from the superior border of the head of the scapula, projecting forward and curving laterally. The coracoid process is located directly below the lateral fourth of the clavicle and connected to its undersurface by the coracoclavicular ligament. • Fractures of the scapula account for approximately 1% of all fractures and are typically associated with significant trauma. 14 Stress fractures have been reported at the acromion in a football lineman, 12 golfer, 7 and elite tennis player. 10 Coracoid stress fractures have occurred in a cricketer 3 and trapshooter. 2 Within the body of the scapula, there are only 4 reported cases in athletes. The short head tendon attaches to a bump in front of the scapula — or shoulder blade — called the coracoid process. The long head tendon attaches to the glenoid, the top of the shoulder socket. The head of the humerus articulates with the acromion process. The greater tubercle of the humerus articulates at the coracoid process of the scapula. The rotator cuff is responsible for the flexible extensions at the elbow joint. The annular ligament surrounds the head of the radius

What is the Coracoid Process? (with pictures

Acromion (8% of scapula fractures) Coracoid (7% of scapula fractures) Patients with scapular fractures present with the ipsilateral upper extremity adducted against the body and protected from movement. Typical physical examination findings may include swelling, ecchymosis, crepitus, and tenderness about the shoulder Identify the process on the scapula that does not articulate with another bone. Coracoid process During a weightlifting event, a participant suffered a painful injury involving a connective tissue pad on the lateral border of his left knee S42.13 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of coracoid process. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that. Fractures are often seen on the base of the coracoid process and are generally minimally displaced and together with AC joint injuries. Indications for surgical treatment were accepted as painful nonunion, >1 cm displacement, concomitant scapula fracture on the same side and the presence of superior shoulder suspensory complex injuries [3-5] The coracoid process will be oriented in the conventional manner, with the inferior surface against the glenoid vault, secured with two cannulated screws Procedure: Latarjet coracoid transfer Coracoid transfer performed via deltopectoral approach with horizontal subscapularis split Classic symptoms of strain in the chest muscle include: pain.

Xiphoid Process: Pain, Lump, Removal, and Mor

This ligament, together with the coracoid process and the acromion, forms a vault for the protection of the head of the humerus. It is in relation, above, with the clavicle and under surface of the Deltoideus; below, with the tendon of the Supraspinatus, a bursa being interposed. The joint will be very tender and swollen on examination. Biceps means 'two heads' in latin and the muscle earns its name because it joins at the shoulder in 2 places with 2 different 'heads', know as the proximal biceps tendons because they are closest to the top of the arm. The short head of the biceps tendon originates at the coracoid process of the scapula (shoulder blade). The long head of the biceps originates just above the glenoid fossa. The acromion process is one of the bones in the human body, present on the scapula. It is found together with the coracoid process. The acromion extends over the shoulder joint. An extension of the scapular spine, the acromion, together with the clavicle forms the acriomioclavicular joint. The superior surface of this bone is convex in shape

Nonoperative treatment for Body and processes, coracoi

Loosening of the compression force of the. Depending upon the particular fracture type. Chapter ankle and foot, these muscles is located anteriorly. Thus, it appears to be hyperlax at baseline and are oriented directly toward the coracoid process being attached to the subclavius Subcoracoid bursa is in between subscapularis muscle and the coracoid process. Biceps tendon sheath is a tube-shaped bursa. Originates from the glenoid and lies in the biceps groove (Thomas, Shoulder Humerus Anatomy Lecture, 2013) Purpose the present prospective open-label study was designed to gain further insights into a condition thought to constitute a neglected but not uncommon syndrome characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process, not related to rotator cuff or pectoralis minor tendinopathy, long head of the biceps tendon disorders, or instability The first case of osteoid osteoma of the coracoid process was reported by Kaempfee in 1994, he exposed the nidus via the posterior approach and curetted it. Ogose et al. managed two cases of coracoid osteoid osteoma with resection and curettage, but without reference to their approach in the report

The coracoid process serves as a lighthouse for proper orientation in a scarred shoulder. It divides the lateral (safe side) from the medical side (suicide) where the brachial plexus and vascular structures are located their failure to produce local clinical evidence of infection such as redness swelling and tenderness The coracoid process is a projection towards the front of the scapula and is an attachment site for several muscles and ligaments. The clavicle is the collarbone. Although it appears to be straight, it actually forms an S-shape when seen from above. The thorax or rib cage, is an anchor for several muscles and ligaments. Although the ribs do not.

Shoulder Pain and Problems Johns Hopkins Medicin

coracoid base and the upper quarter of the glenoid or through the tip of the coracoid process [7]. Epiphyseal separation of the coracoid process with concomitant acromioclavicular sprain has also been reported in adolescents [6]. In the developing skeleton, the epiphyseal plate is weaker than the coracoclavicular ligaments The Coracoid process causes an indenting of the superficial surface of the upper Subscapularis tendon while stretching (tensile loading) of the deep surface of the Subscapularis. This leads to a TUFF's (Tensile under -surface fiber failure) lesion or an articular side tearing (inside the joint) of the Subscapularis tendon

Shoulder & Arm Muscles Cont

Coracoid process is a small hooked structure located on the scapular neck that arises anteriorly and serves as attachment for the coracoacromial, coracoclavicular and coracohumeral ligament, as well as for tendons of the coracobrachial, small pectoral and short head of the biceps brachii muscle The MRI is a very sensitive technique that allows better visualization of the bones, cartilage, and joint tissue. An MRI picture is in black and white like an XRay but can provide cross sectional pictures from several different perspectives. Bone marrow edema can be seen in a number of different conditions

Shoulder Bursitis - Physiopedi

Acromion process is a form of a bony process that interacts with collar bone or clavicle. The acromion process is a feature on your scapula or shoulder blade that you can feel sticking out when you rub the point where the arm and back of your shoulder meet This includes the pectoralis minor muscle, which is a very small muscle that is deep to the pectoralis major muscle. It is connected to the 3 rd through 5 th rib and extends out to the coracoid process located on the scapula. It helps bring the scapula downward and forward, aiding in inspiration by raising the ribs What is coronoid process fracture? The coronoid process is a triangular projection on the anterior surface of the third olecranon bone. It acts as a bony buttress to prevent posterior dislocation; additional stability is provided by its three soft insertions, namely the anterior joint capsule of the elbow, the brachialis muscle and the medial ulnar collateral ligament Milwaukee shoulder syndrome (MSS) is an uncommon and enigmatic entity. It is characterized by rapid and severe joint destruction, which associates rotator cuff tear and atrophic osteoarthritis, and bears resemblances to neuropathic and neuropathic-like arthropathies. MSS has been called rapidly progressive osteoarthritis, apatite associated. ture of the coracoid process. The coracoid process was then transferred in an open Latarjet procedure, with re-fixation of the avulsion fracture with attached conjoined tendons to the glenoid rim. We used two 4mm screws (length 26mm and 32mm) for re-fixation of the coracoid process and the bone fragment (Figures 4 and 5)

Shoulder dislocations can cause acute and chronic instabilities that need to be addressed in order to restore joint functioning. The transfer of the coracoid process has become a feasible surgical procedure in patients with shoulder instability. Several concomitant injuries after recurrent dislocations have been described. A 32-year-old German man presented to our department with a history of. • Acute Fracture - clavicle , coracoid process, acromial process • Tumor • Avoid increased pain or swelling Evaluation: Medical History: • Review medical history questionnaire (on an ambulatory evaluation), patient's medical record and medical history reported in the Hospital's Computerized Medical Record

A case report of metastatic hepatocellular carcinoma in

Coracoacromial ligaments (CAL): These ligaments connect two parts of the shoulder blade (acromion and coracoid process). Thickening of these ligaments can cause impingement syndrome. Coracoclavicular ligaments (CCL): These ligaments connect the scapula to the clavicle. It is extremely strong and helps to keep your shoulder square Two of the most common ways people injure their AC joint is by falling on an outstretched arm or running directly into something. In this article, Dr. Robert Rolf of Beacon Orthopaedics and Sports Medicine will explore AC joint injuries and some of the most frequently asked questions by patients. If you are experiencing any of the symptoms. PALPATION Tenderness Swelling Palpable gap in muscles Acromioclavicular joint Coracoid process Subacromial bursa Biceps tendon 10. MOVEMENTS Active Passive Resistive 11. FORWARD EXTENSION ABDUCTION- ADDUCTION CROSSFLEXION- 0- - -45°160/180° 0-180° - 0-45° BODY ADDUC TION. In the area of the pectoralis minor's tendon insertion on the inferior-lateral aspect of the coracoid process, medial to the proximal humerus. Point 7: On the back of the shoulder, within the quadrilateral space bounded by the humerus, long head of triceps, and teres major and minor. This swelling prevents the greater tuberosity from.

Osteology of the Thoracic Limb at Oregon State UniversityMuscles Week 1 - Biology 264 with Gardner at Brigham Young

The coracoid process (an anteriorly projecting hook-like process on the outer edge of the scapula/ shoulder blades) is transferred through the subscapularis tendon. The subscapularis is the largest muscle in the rotator cuff of the shoulder (the group of muscles that attaches the upper arm to your shoulder) The coracoid process projects anteriorly and may be used as a landmark to determine the direction of humeral head dislocation. The glenoid fossa has been outlined. Important related neurovascular structures include the subclavian vessels and brachial plexus, which lie posterior to the clavicle, and the axillary neurovascular bundle passing. concomitant coracoid process fractures were described by DiPaolo et al. 3. The second mechanism, involving a direct blow to the ACJ, best describes our patient's injury following his fall. The traumatic force pushes the acromion caudad while the coracoid process is pulled by the CC ligament with the clavicle cephalad, avulsing it from its base Aspirate the joint using a 20-gauge needle. Enter the skin perpendicularly, inferiorly, and lateral to the coracoid process and medial to the humeral head. Direct the needle posteriorly, toward the glenoid rim, and gently pull back on the plunger as you advance. Synovial fluid will enter the syringe when the joint is entered The subcoracoid centre appears in the root of the coracoid process during the 10th year and fuses by the 16th to 18th years. The other centres, including 2 for the acromion , oe for the lower 2/3rds of the margin of the glenoid cavity, one for the medial border and one for the inferior angle, appear at puberty and fuse by the 25th year 1.1 Pain patterns. When your pectoralis minor contains trigger points, it can give you pain right at the location of these spots and send it to other, seemingly unrelated areas of your body.. The main pain zone of the pectoralis minor is the front of your shoulder, but you might also experience a radiating pain into your chest and all the way down your inner arm