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
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
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
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)
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
