Type 2 fractures of the distal clavicle: A new surgical technique

Suspension Suture Augmentation for Repair of Coracoclavicular Ligament Disruptions

“…Acromioclavicular (AC) dislocation or lateral third clavicular fracture generally occurs from direct trauma to the shoulder area, most often when a force is applied to the acromion with the arm in an adducted position [3,7,9,12,13]. The pathologic force generally follows the paths of transmission such that the energy travels through the AC ligament or the lateral third clavicle, leading to a variable extent of coracoclavicular (CC) ligament disruption [3,9,12].…”

“…The pathologic force generally follows the paths of transmission such that the energy travels through the AC ligament or the lateral third clavicle, leading to a variable extent of coracoclavicular (CC) ligament disruption [3,9,12]. In general, more displacement at the dislocation/ fracture site leads to more severe CC ligament injuries and greater need for surgical stabilization [3,6,9,12].…”

“…The pathologic force generally follows the paths of transmission such that the energy travels through the AC ligament or the lateral third clavicle, leading to a variable extent of coracoclavicular (CC) ligament disruption [3,9,12]. In general, more displacement at the dislocation/ fracture site leads to more severe CC ligament injuries and greater need for surgical stabilization [3,6,9,12]. Biomechanical studies also have indicated the CC ligament plays a primary role in maintaining stability of the AC joint Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”

“…Many orthopaedic surgeons recommend early surgery to prevent disabling shoulder pain, fatigue, weakness, and deformity for Rockwood high-grade (Types IV-VI) AC dislocations and Neer Type II lateral third clavicular fractures [2,3,7,9,12,13]. Various methods for surgical treatment of these lesions have been described [2,5,7,9,10,16,17,20], suggesting experts do not agree on the optimal approach.…”

“…Various methods for surgical treatment of these lesions have been described [2,5,7,9,10,16,17,20], suggesting experts do not agree on the optimal approach. Some surgical techniques attempt to reconstruct native anatomy by directly repairing dislocated AC joints or fractured clavicles [10,16,17,21].…”