Successful nonoperative management of coracoid fracture associated with suture-button fixation of acromioclavicular separation

A young active duty solider underwent acromioclavicular reconstruction with hamstring autograft after sustaining a shoulder separation. At 3 months postoperatively, the patient fell and sustained a fracture of the coracoid process. The patient elected for nonoperative management of the coracoid fracture. Despite eventual nonunion of the fracture, the patient had excellent functional outcomes and returned to military duty without limitation. Although some authors advocate operative fixation, especially in a young and active cohort, excellent outcomes can be obtained with nonoperative management.