Coracoid impingement syndrome is a rare cause of anterior shoulder pain. It is mainly a diagnosis of exclusion after considering the more common subacromial impingement. We describe a case of coracoid impingement and a novel approach to its management: coracoid osteotomy as opposed to the more commonly used technique of coracoplasty. A review of the literature is also presented in relation to this condition. Coracoid osteotomy with internal fixation allows good stability with reliable direct bone-to-bone healing. Coracoid osteotomy is a reliable and a satisfactory alternative to the more commonly-used technique of coracoplasty for the treatment of idiopathic coracoid impingement syndrome.
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