Fig. 4. A 44-year-old woman with a type IIC distal clavicle fracture on the left shoulder was treated by TightRope (Arthrex, Naples, FL, USA) fixation with additional circumferential suture. (A) Preoperative radiograph. (B) Postoperative radiograph. (C) Radiograph obtained at 12 months after surgery showing complete bony union with subsidence of the clavicular button.