Darko Majić m.d.

County hospital Pula

Mares phantom carbon 110Mares phantom carbon 110

Tossy classification Gr. I sprain of AC and

CC ligaments Gr. II rupture of AC

capsule and ligaments and sprain of CC ligaments

Gr. III rupture of CC ligaments (piano key sign)

Gr. IV distal luxation of clavicle

Rockwood classification

Sport injuries (direct shoulder trauma)

Bicycle and motorcycle accidents

Coraco-clavicular distance

>11-13 mm (50% more

than uninjured shoulder)

K-wires and Zuggurtung

Bosworth screw

Nottingham Surgilig

Autograft reconstruction (lig. m. Gracillis, lig. Coracoacromialis)

Clavicula plates

Tightrope metod

Place the patient in a shoulder immobilizer for a periodof at least two weeks. Allow the patient to remove theshoulder immobilizer only for washing and elbow flexionextension exercises. Motion below shoulder height ispermitted until six weeks, at which time full active motionis commenced. Avoid heavy resistance work until threemonths post operation.

2 cases of system ruptured

In literature some female patients have esthetic issues