The coracoid process is a hook-shaped projection from the superior scapula serving as the attachment point for the pectoralis minor, short head of biceps, and coracobrachialis muscles, and the origin of the coracoacromial and coracoclavicular ligaments. The coracoid is palpable 1 cm below the clavicle medial to the coracohumeral joint and is a landmark for anterior shoulder anatomy.
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| Ossification | The coracoid ossification centre appears in the first year of life and fuses with the scapula between ages 14 and 20 at the coracoid base. |
The coracoid is transferred in the Latarjet procedure for anterior shoulder instability with significant glenoid bone loss. The coracoid tip with attached conjoint tendon is fixed to the glenoid defect, providing both bone augmentation and a dynamic sling effect. The coracoid impingement syndrome produces anterior shoulder pain from the subscapularis compressing against the coracoid tip during internal rotation and forward flexion, with a coracohumeral distance less than 8 mm on MRI being diagnostic.
Find the junction of the middle and outer thirds of the clavicle, then move about 2-3 cm straight down into the hollow between deltoid and pectoralis major (the deltopectoral groove). Press firmly backward and slightly outward to feel a deep bony knob; this is the tip of the coracoid process. It is often tender even in a healthy shoulder.
An uncommon fracture often associated with acromioclavicular separation or shoulder dislocation.
Narrowing between the coracoid and lesser tuberosity compresses the subscapularis tendon, causing anterior shoulder pain.
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