We reviewed 67 consecutive patients with fractures of the coracoid process, classifying them by the relationship between the fracture site and the coracoclavicular ligament. The 53 type-I fractures were behind the attachment of this ligament, and the 11 type-II fractures were anterior to it. The relationship of three fractures was uncertain. Type-I fractures were associated with a wide variety ...

Posterior dislocation of the acromioclavicular joint with the lateral end of the clavicle locked behind the acromion has only rarely been described. This paper present such a case diagnosed two weeks after the shoulder was injured in an accident. The clavicle was locked behind the articular surface of the acromion, restricting the movement of the shoulder and causing considerable pain. Anteropo...

The aim of this retrospective study was to evaluate the outcome of the surgical treatment of acute complete acromioclavicular (AC) joint dislocation with multistrand titanium cable for coracoclavicular (CC) stabilization. Forty-two patients with acute complete AC joint dislocation, Rockwood III, IV, V, were treated with CC stabilization using multistrand titanium cable. Thirty-nine patients cou...

Dislocation is the most common injury affecting the acromioclavicular (AC) joint. Six grades of AC joint dislocation are currently described, based on the degree and direction, of displacement. Complete rupture of both the AC and coracoclavicular (CC) ligaments is considered to be necessary before complete grade 3 dislocation of the AC joint can occur. Diagnosis is made on the basis of the clin...

We describe a technique of open anatomical coracoclavicular ligament reconstruction restoring both parts of the native ligament, aiming at achieving maximum stability of the acromioclavicular joint without disturbing the normal anatomy. Using the same anatomical principle of ligament reconstruction as in other joints, transosseous tunnels are created at the native footprints of the conoid and t...

This article reports on a technique to treat unstable type II distal clavicle fractures using fracture-specific plates and coracoclavicular augmentation with a suture button. Six patients with clinically unstable type II distal clavicle fractures underwent treatment using the above technique. All fractures demonstrated radiographic union at 9.6 (8.4-11.6) weeks with a mean follow-up of 15.6 (12...

Acromioclavicular (AC) joint instability is a fairly common and particularly limiting injury that may result in persistent pain and reduced quality of life. In most cases, conservative management is successful. However, in the case of a severe AC joint dislocation, surgical intervention may be warranted. Previous surgical techniques for treatment of AC joint instability include screw fixation b...