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. 2014 Jun 19;5(2):65–73. doi: 10.1016/j.jcot.2014.05.007

Table 1.

Classifications of fracture clavicle.

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
  • a.

    Minimally displaced

  • b.
    Displaced fractures, fracture medial to the C–C ligament
    • 1.
      Conoid and trapezoid intact
    • 2.
      Conoid torn, trapezoid intact
  • c.

    Fractures into articular surface

  • d.

    Fractures in children, intact C–C ligaments attached to periosteal sleeve, proximal fragment displaced

  • e.

    Comminuted 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
  • a.

    Minimally displaced

  • b.

    Displaced

  • c.

    Intra-articular

  • d.

    Epiphyseal separation

  • e.

    Comminuted

Distal third (type 3) Cortical alignment fractures (3A) 3A1 – Extra-articular
3A2 – Intra-articular
Displaced fractures (3B) 3B1 – Extra-articular
3B2 – Intra-articular