Evidence map›Paper›PMID 41087612›Full record

ArticleSurgical and radiologic anatomy : SRA2025

Morphometric analysis of the coracoid process in the Chinese population: clinical strategies for fracture fixation.

Yiwen Tan, Xingxing Wang, Zhao Tan, Bo Yu, Hu Zhang

Abstract read
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yiwen Tan *Department of Orthopaedics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xingxing Wang *Anatomy Teaching and Research Section, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Zhao TanDepartment of Orthopaedics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Bo YuAnatomy Teaching and Research Section, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. 2099310070@qq.com.
Hu ZhangDepartment of Orthopaedics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. drzhang2019@shutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe coracoid process presents surgical challenges due to its irregular anatomical morphology, further compounded by a paucity of population-specific morphometric data in the Chinese population. This study aimed to systematically analyze the morphometric characteristics of the coracoid process in the Chinese population and simulate mid-axial screw placement through the vertical portion of the coracoid, thereby providing anatomical guidance for surgical fixation of coracoid base fractures.

methodsSeven scapular specimens and 12 three-dimensional CT reconstructions were analyzed. Measurements were set the length, width, and thickness of the horizontal portion, the height, width, and thickness of the vertical portion, as well as the length and width of the glenoid cavity. Simulated mid-axial screw trajectories were assessed for angulation relative to the glenoid plane and scapular body plane, and the extreme range of each entry angle was defined. Specimen measurements were compared to the CT data. Entry point distances from anatomical landmarks and screw trajectory lengths were measured.

resultsIn the scapular specimens, the length of the horizontal portion was 37.94 ± 4.02 mm, with a width of 13.74 ± 1.35 mm and a thickness of 9.40 ± 0.90 mm. The height of the vertical portion was 19.14 ± 1.64 mm, with a width of 24.99 ± 1.30 mm and a thickness of 9.97 ± 1.43 mm. The length of the glenoid cavity was 41.21 ± 4.50 mm, and the width was 29.39 ± 4.12 mm. In the glenoid plane, the screw trajectory angle was 51.33° ± 16.04°, and the extreme range of entry angle was 53.53° ± 6.05°. For the scapular body plane, it was 8.67° ± 6.36° and 63.86° ± 6.36°, respectively. The CT data measurements aligned with those of the specimens except for the extreme range of entry angles (P < 0.05). The optimal entry point was 10 mm lateral to the medial border of the horizontal portion, slightly below the midpoint of its superior-inferior axis, with a trajectory length of about 40 mm.

conclusionThis study delineates the anatomical dimensions of the coracoid process in the Chinese population and defines safe parameters for mid-axial screw placement through the vertical portion, including entry point localization, trajectory orientation, and angulation limits. These findings enhance the precision and safety of coracoid-related surgical interventions.

Indexed as

Coracoid ProcessFracture Fixation, InternalFractures, BoneScapulaAdultAgedAnatomic LandmarksBone ScrewsCadaverChinaEast Asian PeopleFemaleHumansImaging, Three-DimensionalMaleMiddle AgedChinese populationCoracoid anatomyCoracoid base fractureScrew fixation

Identifiers

PMID41087612
PMCPMC12521262

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.