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Coracoid process morphometry in Asians: a systematic review of computed tomography-based studies.

Created on 11 Sep 2026

Authors

Brandon Lim, Gennie Lim, Junren Zhang

Published in

Clinics in shoulder and elbow. Volume 29. Issue 3. Pages 403-415. Epub Sep 01, 2026.

Abstract

Accurately measuring the coracoid process is essential to coracoid transfer procedures. This systematic review synthesizes computed tomography (CT)-based studies of coracoid morphometry in Asians, summarises measurement parameters, and establishes pooled-mean dimensional estimates.
CT-based studies reporting coracoid morphometry in Asians were identified. Pooled estimates were calculated from study-level sample sizes, means, and standard deviations using a combined-group variance approach. Study quality was assessed using the Anatomical Quality Assurance checklist.
Fourteen studies comprising 1,581 coracoid processes were included. The pooled mean age was 46.38±14.62 years (9 studies). The pooled mean measurements were: total coracoid length 39.82±3.17 mm (5 studies); tip to flexion point distance 23.31±3.50 mm (3 studies); tip to coracoclavicular ligament distance 22.66±2.99 mm (2 studies); thickness halfway between the tip and base 11.28±1.39 mm (3 studies); and thickness 1 cm from the tip 10.03±0.95 mm (3 studies). In females, the pooled mean measurements were total length 38.79±3.95 mm (5 studies); tip to flexion point distance 19.98±1.91 mm (2 studies); thickness halfway between the tip and base 10.58±1.08 mm (3 studies); and thickness 1 cm from the tip 9.52±0.83 mm (2 studies).
Although heterogeneity in anatomical definitions limits cross-study comparability, pooled coracoid dimensions in Asian females suggest that they approach previously proposed fracture-risk thresholds. Well-designed studies using standardised morphometric definitions and measurement protocols are needed to further evaluate this finding.

PMID:
42723387
Bibliographic data and abstract were imported from PubMed on 11 Sep 2026.

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