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Clavicle Classifications

Clavicle Classifications
1. 2. 3. 4. 5. 6. Clavicle fractures: Allman Classification Clavicle fractures: Neers Classification Clavicle fractures: Craig Classification Clavicle fractures: Robinson Classification Distal Clavicle fractures: Neers Classification Sternoclavicular Joint injury: Allman classification

Clavicle fractures: Allman Classification Allman F L, JBJS (A) 49:774-784, 1967 Group 1: fracture of middle 1/3, most common Group 2: fracture distal to C -C ligament, non-union common Group 3: fractures of proximal end clavicle Top Clavicle fractures: Neers Classification In: Shoulder Reconstruction, edited by Neer II, C S, 363-420, W B Saunders C o, 1990 Type 1: Middle third clavicle fracture (80%) Type 2: Distal end clavicle fracture (15%) Type 3: Medial 1/3 clavicle fracture (5%) Top Clavicle fractures: Craig Classification In: The Shoulder, 367-412, Edited by Rockwood and Matsen, W B Saunders and C o, 1990 Type 1: Middle 1/3 fractures Type 2: Distal 1/3 fractures a. Minimally displaced b. Displaced fractures, Fracture medial to the C -C ligament 1. C onoid and trapezoid intact 2. C onoid torn, trapezoid intact c. Fractures into articular surface d. Fractures in children, intact C -C ligaments attached to periosteal sleeve, proximal fragment displaced e. C omminuted fractures Type 3: Proximal 1/3 fractures a. Minimally displaced b. Displaced c. Intra-articular d. Epiphyseal separation e. C omminuted

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Clavicle Classifications

Top Clavicle fractures: Robinson Classification Robinson C M, JBJS (Br) 80:476-484, 1998 Type 1: Medial 1/5th clavicle fractures a. Undisplaced a1. Extra-articular a2. Intra-articular b. Displaced b1. Extra-articular b2. Intra-articular Type 2: Middle 3/5th clavicle fractures a. C ortical alignment fractures a1. Undisplaced a2. Angulated b. Displaced fractures b1. Simple, wedge comminution b2. Multifragmentary, segmental Type 3: Lateral 1/5th clavicle fractures a. Undisplaced a1. Extra-articular a2. Intra-articular
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Clavicle Classifications

b.

Displaced b1. Extra-articular b2. Intra-articular Top

Distal Clavicle fractures: Neers Classification Neer II, C S, C ORR, 58: 43-50, 1968 Type 1:Stable, minimally displaced (3 times common) Type 2:unstable, displaced, detachment of C -C ligaments from proximal fragment Type 3:intraarticular (Stable) Top Sternoclavicular Joint injury: Allman classification Allman F L, JBJS (am) 49:774-784, 1967 Grade 1: Grade 2: Sprain of S-C joint, ligaments intact Rupture of S-C ligaments, costo-clavicular ligaments intact

Grade 3: C omplete disruption of S-C joint S-C ligaments and costo-clavicular ligaments torn. displacement anterior or posterior Top

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