Anteroposterior (AP) radiograph of the right shoulder and clavicle demonstrating a distal clavicle fracture, classified as Neer type IIA. The fracture is located medial to the coracoclavicular (CC) ligaments, resulting in a characteristic superior displacement of the proximal clavicle fragment due to the pull of the sternocleidomastoid muscle, while the distal fragment remains attached to the acromion. Adjacent to the glenohumeral joint, two metallic cortical screws with washers are visible, originating from a previous Latarjet procedure; these are positioned within the coracoid process remnant and appear stable. An inset anatomical diagram illustrates the Neer type IIA classification, specifically highlighting the relationship between the fracture line and the conoid and trapezoid components of the CC ligament. The image serves as an educational tool for identifying unstable distal clavicle fractures and assessing postoperative orthopedic hardware in the context of complex shoulder trauma history.

This medical illustration presents a diagnostic classification chart for Type C scapular fractures, characterized as unstable injuries or 'floating shoulder' configurations. The diagram is divided into three panels (C1, C2, C3) showing posterior-anterior views of the right shoulder girdle, highlighting fracture lines in red. Panel C1 illustrates a fracture of the collum anatomicum (anatomical neck) of the scapula. Panel C2 depicts a non-displaced but unstable fracture involving both the scapular neck/superior border and the mid-shaft clavicle. Panel C3 demonstrates a displaced and unstable fracture pattern involving the scapular neck/superior border and the clavicle, with visible misalignment of the bone fragments. The infographic serves as an educational tool for orthopedic trauma, focusing on the Superior Shoulder Suspensory Complex (SSSC) and distinguishing between injury types based on anatomical location and the presence of displacement to determine mechanical stability.

This comparative diagnostic image consists of two anteroposterior radiographs of the right shoulder and clavicle. Image (a) depicts a complete midshaft (Group I/Allman Type 1) clavicle fracture with extreme displacement and significant shortening. The distal fragment is positioned superiorly and posteriorly relative to the proximal fragment, with no evidence of primary bone callus formation. Image (b) shows the same clavicle following surgical intervention for internal fixation. A radiopaque intramedullary wire is visible, spanning the fracture site through the medullary canal to restore anatomical alignment and stability. The wire extends from the medial aspect through the lateral portion of the clavicle. These images illustrate the radiological presentation of a severe clavicular fracture and its subsequent management via intramedullary nailing. The clinical significance highlights surgical indications for highly displaced pediatric or adult clavicle fractures where conservative management may be insufficient for functional recovery.

An anatomical diagram illustrating the surgical reduction and fixation planning for a distal clavicle fracture, likely a Neer Type II injury. The illustration depicts the distal third of the clavicle with a transverse fracture line. A metallic Kirschner wire (K-wire) is shown inserted laterally through the distal fragment into the proximal bone to maintain temporary reduction. The diagram highlights two distinct sets of surgical drill tunnels for definitive fixation: 1) Two green tunnels (2 mm diameter) oriented horizontally/anteroposteriorly across the fracture site, intended for figure-of-8 and figure-of-0 fracture cerclage using suture tape. 2) Two red tunnels (3.2 mm diameter) oriented vertically on the medial side of the fracture, intended for coracoclavicular cerclage using high-strength sutures. The placement of the medial tunnels reflects the anatomical insertion points of the coracoclavicular ligaments. This surgical strategy combines direct fracture site stabilization with stabilization of the coracoclavicular interval, addressing both bone and ligamentous components of the injury.

This anatomical illustration depicts a double fracture pattern of the left clavicle in an adult male. The drawing highlights two distinct fracture sites: an established medial nonunion and an acute lateral fracture. The medial fracture, located in the proximal third of the clavicle shaft, is characterized by a prominent, inferiorly directed bony spike. This spike is shown in close anatomical proximity to the lung apex and the first rib, illustrating the potential risk for intrathoracic complications such as pneumothorax. The lateral fracture is situated in the distal third of the clavicle shaft, presenting as a relatively clean, acute break without the significant remodeling seen in the medial nonunion. The illustration includes skeletal landmarks such as the sternum, rib cage, and humeral head, along with neurovascular structures passing beneath the clavicle. This diagram serves as an educational tool for identifying complex clavicular fracture patterns and understanding their spatial relationship to critical thoracic and vascular anatomy.

Anteroposterior (AP) chest and shoulder radiograph demonstrating a comparative view of the bilateral acromioclavicular (AC) joints. On the patient's right side, there is a high-grade acromioclavicular joint dislocation (Rockwood type IV) characterized by significant superior and posterior displacement of the distal clavicle relative to the acromion, with an increased coracoclavicular distance. Additionally, there is evidence of an Allman type III fracture of the proximal clavicle and asymmetry at the sternoclavicular region, suggesting a 'floating clavicle' injury pattern (bipolar clavicle injury). The contralateral (left) shoulder exhibits normal anatomical alignment of the acromioclavicular and sternoclavicular joints, serving as a baseline for comparison. This diagnostic image is intended for educational use in orthopedic trauma, illustrating complex clavicular fractures and ligamentous disruptions.

An intraoperative clinical photograph showing the open reduction and internal fixation (ORIF) of a medial end clavicle fracture. The surgical site is exposed through an anterior approach, with the skin and underlying soft tissues retracted using a self-retaining retractor to reveal the clavicle. A 2.4-mm mini fragment system locking compression plate (LCP) is fixed to the anterior surface of the bone across the fracture line. The metallic plate features seven holes, with multiple locking screws visible, providing stable fixation and alignment of the cortical bone. The surrounding surgical field is bordered by green sterile drapes, and the exposed muscle and connective tissues show normal surgical hyperemia. This image demonstrates orthopedic surgical techniques for stabilizing clavicular fractures using low-profile plating systems.

An intraoperative clinical photograph demonstrating an Open Reduction Internal Fixation (ORIF) of a midshaft clavicle fracture. The image shows a sterile surgical field with an incision exposing the clavicle's anterosuperior surface. A contoured anatomical locking compression plate is positioned across the fracture site. Two pointed reduction clamps are applied to maintain cortical alignment and bone-to-plate contact. A gloved hand is visible using a screwdriver or drill bit to secure fixation screws through the plate's circular and elongated dynamic compression holes. The surgical area is bounded by green sterile drapes and shows minor physiological hemorrhage typical of orthopedic procedures. This visual illustrates the surgical technique for managing displaced clavicular fractures, highlighting the relationship between the anatomical plate, temporary reduction clamps, and permanent screw fixation for interfragmentary compression and stability.

A clinical photograph capturing an intraoperative view of an Open Reduction and Internal Fixation (ORIF) procedure for a displaced fracture of the middle third of the clavicle. The image shows a surgically exposed anatomical region with visible soft tissue dissection and presence of blood. A contoured, metallic, light-blue orthopedic compression plate is positioned across the fracture site to stabilize the bone fragments. The plate is secured with multiple metallic cortical screws, which are fully seated within the plate's pre-drilled holes. Self-retaining retractors and other surgical instruments are positioned at the margins of the incision to maintain visibility of the operative field. This visual illustrates standard orthopedic trauma management and the use of internal fixation hardware to promote primary bone healing in clavicular fractures.