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The coracoclavicular ligament is a strong stabilizer of the acromioclavicular joint. [2] It is also important in the transmission of weight of the upper limb to the axial skeleton. There is very little movement at the AC joint. [citation needed]
The coracoacromial ligament may impinge and compress rotator cuff muscle or tendon. [3] It may be damaged during a shoulder injury. [4] The attachment of the coracoacromial ligament may be moved from acromion to the end of the clavicle when reconstructing the acromioclavicular joint. [5] [6] This often fails. [5]
Modern variations of the procedure may use additional fixation methods to better stabilize the distal clavicle end as the original construction is rather weak compared to the unharmed shoulder. Even with these modifications, the modern surgeries do not match intact coracoclavicular ligament strength in cadaveric testing. [3]
The joint will be very tender and swollen on examination. Grade III separations most often do not require surgery and shoulder function should return to normal after 16–20 weeks. However, there will be some physical deformity of the shoulder with a noticeable bump resulting from the dislocation of the clavicle.
The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major.. It occupies the interval between the pectoralis minor and subclavius, and protects the axillary vein and artery, and axillary nerve.
It forms two bands [3]: 908 - an anterior one and a posterior one - that insert into the lesser and greater tubercles of the humerus, respectively. [ 4 ] The two bands of the CCL blend with the joint capsule; [ 3 ] : 908 the ligament is intimately united with the capsule by its posterior and inferior border, but its anterior and superior border ...
There is a 2- to 3-fold increase in the coracoclavicular distance, causing such a severe displacement that the clavicle almost pierces the skin. [11] The humerus and scapula drop without having the clavicular strut to lift them, which manifests as a severely drooping shoulder. [11] This injury generally requires surgery. [5]
Clavicular facet of scapula is small oval facet on the medial border of the acromion for articulation with the acromial facet on the lateral end of the clavicle. [1] Also called Clavicular articular facet of acromion. The coracoacromial ligament is attached near the clavicular facet. [2]