Percutaneous Coracoclavicular Tightrope Reduction of a Displaced Distal Clavicular Fracture: A Case Report

Abstract

Case A 34-year-old male presented with a Neer type IIa clavicle fracture after a direct fall on the right shoulder following a cycling accident. The patient subsequently underwent percutaneous reduction and fixation with a coracoclavicular TightRope. The postoperative course was uncomplicated, and radiographic union was noted at 12 weeks postoperatively. The patient reported no further complaints with full range of motion of his shoulder and had a QuickDASH, SANE, ASES, and Constant Murley score of 100 at one year post-operatively. Conclusion Neer type II clavicle fractures can be notoriously unstable when managed non-operatively. Although multiple treatment modalities have been utilized, there remains some debate regarding the optimal surgical approach. Due to its minimally invasive nature and avoiding the risk for future hardware removal, coracoclavicular TightRope placement might be an excellent treatment option for patients with distal clavicle fractures.