Radiographs demonstrated normal alignment of the clavicle with respect to the acromion, a reduced coracoclavicular
interval, and a healed coracoid fracture (Fig.
Initial radiographs revealed a displaced left distal clavicle fracture with no disruption to the coracoclavicular
ligaments evident (Figure 1).
The shoulder girdle effectively hangs from the clavicle by the coracoclavicular
* Type II: Fracture distal to the coracoclavicular
Other surgical options include clavicular plates and screws, transacromial Rush nails, intramedullary Steinmann pins, and coracoclavicular
Surgical treatment for distal clavicle fracture associated with coracoclavicular
ligament rupture using a cannulated screw fixation technique.
(10-12) He distinguished the stable Type I fracture from the unstable Type II fracture in which the coracoclavicular
ligaments are detached from the medial fragment.
* Most class A fractures occur medial to the coracoclavicular
ligament, at the junction of the middle and outer thirds of the clavicle.
The lateral end of the clavicle is fixed to the coracoid process by the coracoclavicular
ligament, having the lateral trapezoid and medial conoid parts.
joint: incidence, clinical significance and available management options.
The MRI revealed a type II AC injury (according to the Rockwood classification)  with oedema of the coracoclavicular
ligament and an intact coracoacromial ligament.