Clavicle Classifications


1. Clavicle fractures: Allman Classification
2. Clavicle fractures: Neer’s Classification
3. Clavicle fractures: Craig Classification
4. Clavicle fractures: Robinson Classification
5. Distal Clavicle fractures: Neer’s Classification
6. Sternoclavicular Joint injury: Allman classification


Clavicle fractures: Allman Classification
Allman F L, JBJS (A) 49:774-784, 1967

Group 1: fracture of middle 1/3, most common
Group 2: fracture distal to C-C ligament, non-union common
Group 3: fractures of proximal end clavicle

Top


Clavicle fractures: Neer’s Classification
In: Shoulder Reconstruction, edited by Neer II, CS, 363-420, W B Saunders Co, 1990

Type 1: Middle third clavicle fracture (80%)
Type 2: Distal end clavicle fracture (15%)
Type 3: Medial 1/3 clavicle fracture (5%)

Top


Clavicle fractures: Craig Classification
In: The Shoulder, 367-412, Edited by Rockwood and Matsen, W B Saunders and Co, 1990

Type 1: Middle 1/3 fractures

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

Type 3: Proximal 1/3 fractures
    a.    Minimally displaced
    b.    Displaced
    c.     Intra-articular
    d.     Epiphyseal separation
    e.     Comminuted

Top


Clavicle fractures: Robinson Classification
Robinson CM, JBJS (Br) 80:476-484, 1998

Type 1: Medial 1/5th clavicle fractures

a. Undisplaced
    a1. Extra-articular
    a2. Intra-articular
b.   Displaced
    b1. Extra-articular
    b2. Intra-articular

Type 2: Middle 3/5th clavicle fractures

a.   Cortical alignment fractures
    a1. Undisplaced
    a2. Angulated
b.   Displaced fractures
    b1. Simple, wedge comminution
    b2. Multifragmentary, segmental

Type 3: Lateral 1/5th clavicle fractures

a. Undisplaced
    a1. Extra-articular
    a2. Intra-articular
b.   Displaced
    b1. Extra-articular
    b2. Intra-articular

Top


Distal Clavicle fractures: Neer’s Classification
Neer II, CS, CORR, 58: 43-50, 1968

Type 1:Stable, minimally displaced (3 times common)

Type 2:unstable, displaced, detachment of C-C ligaments from proximal fragment

Type 3:intraarticular (Stable)


Top


Sternoclavicular Joint injury: Allman classification
Allman F L, JBJS (am) 49:774-784, 1967

Grade 1:     Sprain of S-C joint, ligaments intact

Grade 2:     Rupture of S-C ligaments, costo-clavicular ligaments intact

Grade 3:     Complete disruption of S-C joint
        S-C ligaments and costo-clavicular ligaments torn.
        displacement anterior or posterior
Top


This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.

The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer