Table 1.
Allman | Nordqvist & Petersson | Craig | Edinburgh (Robinson) | Neer | ||
---|---|---|---|---|---|---|
Group 1: mid third | Undisplaced Displaced comminuted |
Type 1 : mid third | Medial third (type 1) | Non displaced (1A) | 1A1 – Extra-articular 1A2 – Intra-articular |
Type 1: fracture lateral to the coracoclavicular ligament attachment, which has very minimal displacement |
Displaced (1B) | 1B1 – Extra-articular 1B2 – Intra-articular |
Type 2: medial to the ligament attachment 2A – both the conoid and the trapezoid ligaments are attached to the distal fragment 2B – conoid is detached from the proximal fragment while the trapezoid is attached to the distal fragment |
||||
Middle third (type 2) | Cortical alignment fractures (2A) | 2A1 – Undisplaced 2A2 – Angulated |
Type 3: with intra-articular extension | |||
Group 2: lateral third | Undisplaced Displaced |
Type 2: Distal 1/3 fractures
|
Displaced fractures (2B) | 2B1 – Simple or wedge comminuted 2B2 – Isolated or comminuted segmental |
Type 4: occurs in children where a periosteal sleeve gets avulsed from the inferior cortex with the attached coracoclavicular ligament and the medial fragment gets displaced upwards | |
Type 5: avulsion fracture leaving behind an inferior cortical fragment attached to the coracoclavicular ligament | ||||||
Group 3: medial third | Undisplaced Displaced | Type 3: Proximal 1/3 fractures
|
Distal third (type 3) | Cortical alignment fractures (3A) | 3A1 – Extra-articular 3A2 – Intra-articular |
|
Displaced fractures (3B) | 3B1 – Extra-articular 3B2 – Intra-articular |