We have reviewed 12 fractures of the coracoid process. In two of these
patients the fracture extended into the body of the scapula and resul
ted in displacement of the glenoid. In some cases, there were associat
ed acromioclavicular and glenohumeral dislocations or fractures of the
clavicle and the acromion. Two patients required internal fixation to
restore congruence of the glenoid; the others were treated conservati
vely with success. We present a new classification of coracoid fractur
es which helps in their management.