PMC4900020_01
32-year-old male with type III ACJ dislocation. AP radiograph shows superior dislocation of distal clavicle from ACJ, with increased coracoclavicular interval, indicating disruption of coracoclavicular ligaments of the lesion.
gr1.jpg
PMC4900020_01_gr1.jpg
fig1
32-year-old male with failed Tightrope reconstruction of ACJ within eight weeks of surgery. Views of left shoulder. A. AP view shows malpositioned coracoid endobutton with some superior subluxation of distal clavicle. B. Axillary view shows coracoid fracture and confirms pulled through coracoid endobutton.
gr2.jpg
PMC4900020_01_gr2.jpg
fig2
ACJ separation (Fig. 2). At this point, it was decided to follow the patient with nonoperative management.