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[2] The SSSC is a ring formed by the glenoid process, the coracoid process, the coracoclavicular ligaments, the distal clavicle, the acromioclavicular joint and the acromial process (Figure 1C).
There is little literature regarding operative treatment of choice in synthetic coracoclavicular ligament failure revision, reflecting the difficulties in comparing multiple treatment options.
Mazzocca, "The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications," Journal of Shoulder and Elbow Surgery, vol.
Other biomechanical studies reported that a coracoclavicular reconstruction using a free tendon graft like the AC graft rope system (Arthrex Inc.) provides almost equal stability as the native coracoclavicular ligament [2,11].
For Tossy type III patients besides rupture of acromioclavicular ligament and coracoclavicular ligament they also suffer from X-ray-disclosed complete distal displacement and piano key signs in some cases.
Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption.
Cyclical loading of coracoclavicular ligament reconstructions: a comparative biomechanical study.
The main purpose of all these methods is to replace the ruptured coracoclavicular ligament in order to stabilize the clavicle.
After standard graft preparation, drill holes were made in the distal clavicle corresponding to anatomical attachment points of coracoclavicular ligament and the graft was then passed under the coracoid process in a figure of eight fashion.
However, avulsion fracture at the site where the coracoclavicular ligament (CCL) attaches to the coracoid process is very rare; an extensive literature search found only six such cases [3-8].
This has important implications when considering anatomic reconstruction of the coracoclavicular ligament complex.
The periosteal sleeve around the distal end of the clavicle was disrupted; however, the attachment of the coracoclavicular ligament into the inferior part of the periosteal sleeve surrounding the clavicle was still intact.