“…Disruption of the SSSC at a single location due to a clavicle fracture, acromion fracture, or ACjoint dislocation with intact coracoclavicular (CC) ligaments, is a common injury often treated conservatively as the stability of the SSSC is still warranted, if no other indication for operative therapy exists. Double disruption of the SSSC is a rare injury thought to destabilize the construct, and therefore operative repair of one or both of the involved structures is recommended [3][4][5][6][7][8]. Triple and quadruple SSSC disruptions have been reported, although they are even rarer.…”