Ligament of the shoulder
The coracoclavicular ligament is a ligament of the shoulder . It connects the clavicle to the coracoid process of the scapula .
Structure
The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula .[ 1] It is not part of the acromioclavicular joint articulation, but is usually described with it, since it keeps the clavicle in contact with the acromion . It consists of two fasciculi, the trapezoid ligament in front, and the conoid ligament behind.[ 2] These ligaments are in relation, in front, with the subclavius muscle and the deltoid muscle ; behind, with the trapezius .
Variation
The insertions of the coracoclavicular ligament can occur in slightly different places in different people.[ 3] It may contain three fascicles rather than two.[ 3]
Function
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 ]
Clinical significance
The coracoclavicular ligament may be damaged during a severe dislocated clavicle .[ 2] Damage may be repaired with surgery .[ 4]
References
This article incorporates text in the public domain from page 315 of the 20th edition of Gray's Anatomy (1918)
^ Moya, Daniel; Poitevin, Luciano A.; Postan, Daniel; Azulay, Guillermo A.; Valente, Sergio; Giacomelli, Fernando; Mamone, Luis A. (December 2018). "The medial coracoclavicular ligament: anatomy, biomechanics, and clinical relevance—a research study" . JSES Open Access . 2 (4): 183– 189. doi :10.1016/j.jses.2018.07.001 . ISSN 2468-6026 . PMC 6334871 . PMID 30675592 .
^ a b c Klassen, Jeffrey F.; Morrey, Bernard F.; An, Kai-Nan (1 April 1997). "Surgical anatomy and functionof the acromioclavicular and coracoclavicular ligaments" . Operative Techniques in Sports Medicine . Injuries to the Acromioclavicular Joint in the Throwing Athlete. 5 (2): 60– 64. doi :10.1016/S1060-1872(97)80015-9 . ISSN 1060-1872 .
^ a b Harris, Richard I.; Vu, Dzung H.; Sonnabend, David H.; Goldberg, Jerome A.; Walsh, William R. (1 November 2001). "Anatomic variance of the coracoclavicular ligaments" . Journal of Shoulder and Elbow Surgery . 10 (6): 585– 588. doi :10.1067/mse.2001.118480 . ISSN 1058-2746 . PMID 11743540 .
^ Harris, Richard I.; Wallace, Andrew L.; Harper, Gareth D.; Goldberg, Jerome A.; Sonnabend, David H.; Walsh, William R. (1 January 2000). "Structural Properties of the Intact and the Reconstructed Coracoclavicular Ligament Complex" . The American Journal of Sports Medicine . 28 (1): 103– 108. doi :10.1177/03635465000280010201 . ISSN 0363-5465 . PMID 10653552 . S2CID 20444622 .
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