ArticleSpinal cord series and cases2015
Ossification of coracoclavicular ligament in complete paraplegia: a case report.
Article in Spinal cord series and cases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Surgical Treatment for the Ossification of the Coracoclavicular Ligaments: A Case Series of Four Patients.Journal of orthopaedic case reports · 2026Article
- Influence of coracoclavicular heterotopic ossifications in treatment of clavicular fractures : Case report.Unfallchirurgie (Heidelberg, Germany) · 2026Article
Corrections and comments
- Erratum issuedErratum for2016
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA case report.
objectivesThe objective of this study was to highlight the possible etiological factors and functional implications of coracoclavicular ligament ossification in a man with paraplegia.
settingThis study was conducted in King Fahad Medical City, Riyadh, Saudi Arabia.
methodsA 25-year-old man was admitted as a case of complete traumatic spinal cord injury (SCI) at the T3 level for comprehensive rehabilitation after 4 months of injury. He also had a right clavicular fracture, which was managed conservatively. During his rehabilitation course, he complained of chronic right shoulder pain, which limited his activities of daily living, transfers and wheelchair mobility.
findingsHis shoulder examination was unremarkable for impingement but range of motion was restricted, which rendered the need for imaging. A computed tomography scan showed ossification of coracoclavicular ligament, illustrating a rare synostosis between the clavicle and scapula. In addition to pain management, the patient was trained on shoulder conservation techniques for performing functional tasks and showed enhanced independence in various activities of daily living.
conclusionSCI has an association with neurogenic heterotropic ossification (HO), which usually develops below the level of injury. A low threshold for investigating HO may be considered at fracture sites even if they are above the level of SCI, for early prevention and treatment of this disabling complication. The abnormal cross-union between the clavicle and the scapula owing to HO can alter the mechanics of the shoulder girdle along with soft tissue injuries and early degenerative changes. Formation of shoulder HO can be particularly accelerated in SCI patients due to excessive use of upper limbs and to the neurogenic nature of the injury.
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