The coracoclavicular ligaments: an anatomic study.

Surg Radiol Anat

Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

Published: August 2010

AI Article Synopsis

  • The study focused on the anatomy of trapezoid and conoid ligaments in the acromioclavicular joint by examining 40 shoulders from 20 cadavers.
  • The trapezoid ligaments were found to start 2 cm from the coracoid process and extend toward the clavicle, while the conoid ligaments began at the medial margin of the coracoid and directed toward the clavicle’s conoid tubercle.
  • These detailed anatomical findings are crucial for improving surgical reconstruction techniques for acromioclavicular joint dislocations.

Article Abstract

Purpose: The treatment for the acromioclavicular joint dislocations has focused on anatomic restoration of the coracoclavicular ligaments. We reviewed the detailed anatomy of trapezoid ligaments and conoid ligaments using cadavers.

Methods: The subjects were 40 shoulders of the 20 cadavers. We investigated the distributed direction and attachment sites of both trapezoid and conoid ligaments.

Results: The trapezoid ligaments began at about 2 cm away the central point of the distal coracoid process and directed toward the undersurface of the clavicle. The attachments extended from 13 to 26 mm in sagittal dimension and from 13 to 15 mm in coronal dimension. The conoid ligaments began at the medial posterior margin of the coracoid process and directed toward to the conoid tubercle in the clavicle. The attachments extended from 15 to 30 mm in sagittal dimension and from 3 to 6 mm in coronal dimension.

Conclusion: The findings are important indices for the accurate reconstruction of the coracoclavicular ligaments in acromioclavicular joint dislocations.

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Source
http://dx.doi.org/10.1007/s00276-010-0671-zDOI Listing

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