Skip to main content

Advertisement

SpringerLink
Log in

Medial coracoclavicular ligament revisited: an anatomic study and review of the literature

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

The medial coracoclavicular ligament (MCCL), up to now rarely reported in the literature, was studied in a formol-fixed cadaver by means of dissection, morphometry, and light microscopy. This entity represents a true ligament within the coracoclavicular fascia. Although longer and narrower than its lateral counterpart, the medial coracoclavicular ligament follows the same morphological pattern, including the cartilage at the level of the coracoidal attachment. Its clinical significance and implications together with a review of the literature is presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Bamforth JS, Bell MH, Hall JG et al (1989) Congenital shortness of the costocoracoid ligament. Am J Med Genet 33:444–446. doi:10.1002/ajmg.1320330404

    Article  PubMed  CAS  Google Scholar 

  2. Boehm TD, Kirschner S, Fischer A et al (2003) The relation of the coracoclavicular ligament insertion to the acromioclavicular joint: a cadaver study of relevance to lateral clavicle resection. Acta Orthop Scand 74:718–721 (no DOI found)

    Article  PubMed  Google Scholar 

  3. Cooper DE, O’Brien SJ, Warren RF (1993) Supporting layers of the glenohumeral joint. An anatomic study. Clin Orthop Relat Res 1993:144–155. doi:10.1097/00003086-199304000-00019

    Google Scholar 

  4. Costic RS, Vangura A Jr, Fenwick JA et al (2003) Viscoelastic behavior and structural properties of the coracoclavicular ligaments. Scand J Med Sci Sports 13:305–310 (no DOI found)

    Article  PubMed  Google Scholar 

  5. Dolan CM, Hariri S, Hart ND et al (2011) An anatomic study of the coracoid process as it relates to bone transfer procedures. J Shoulder Elbow Surg 20:497–501. doi:10.1016/j.jse.2010.08.015

    Article  PubMed  Google Scholar 

  6. Dufour M (2007) Anatomie de l’appareil locomoteur. Elsevier Masson, Membre supérieur. Cedex (ISBN: 978-2-294-08056-2)

    Google Scholar 

  7. Harris RI, Vu DH, Sonnabend DH et al (2001) Anatomic variance of the coracoclavicular ligaments. J Shoulder Elbow Surg 10:585–588. doi:10.1067/mse.2001.118480

    Article  PubMed  CAS  Google Scholar 

  8. Johnson D. Pectoral girdle and upper limb. In: S. Standring (ed) Gray’s Anatomy. Edinburgh: Churchill Livingstone Elsevier; 2008, p. 791–973. (ISBN: 978-0-443-06684-9)

  9. Lädermann A, Grosclaude M, Lubbeke A et al (2011) Acromioclavicular and coracoclavicular cerclage reconstruction for acute acromioclavicular joint dislocations. J Shoulder Elbow Surg 20:401–408. doi:10.1016/j.jse.2010.08.007

    Article  PubMed  Google Scholar 

  10. Lockwood T (1995) Brachioplasty with superficial fascial system suspension. Plast Reconstr Surg 96:912–920. doi:10.1097/00006534-199509001-00022

    Article  PubMed  CAS  Google Scholar 

  11. Luk KD, Ho HC, Leong JC (1986) The iliolumbar ligament. A study of its anatomy, development and clinical significance. J Bone Joint Surg Br 68:197–200 no DOI found

    PubMed  CAS  Google Scholar 

  12. Magney JE, Staplin DH, Flynn DM et al (1993) A new approach to percutaneous subclavian venipuncture to avoid lead fracture or central venous catheter occlusion. Pacing Clin Electrophysiol: PACE 16:2133–2142. doi:10.1111/j.1540-8159.1993.tb01018.x

    Article  PubMed  CAS  Google Scholar 

  13. Martin RM, Vyas NM, Sedlmayr JC et al (2008) Bilateral variation of subclavius muscle resembling subclavius posticus. Surg Radiol Anat: SRA 30:171–174. doi:10.1007/s00276-008-0303-z

    Article  PubMed  Google Scholar 

  14. Oberlin C, Vacher C, Berthelot J-L (2004) Anatomie des membres. In: Grégoire and Oberlin (eds) Précis d’anatomie. Paris: Cachan (Val-de-Marne) (ISBN: 2-7430-0660-9)

  15. Ockert B, Braunstein V, Sprecher C et al (2010) Attachment sites of the coracoclavicular ligaments are characterized by fibrocartilage differentiation: a study on human cadaveric tissue. Scand J Med Sci Sports. doi:10.1111/j.1600-0838.2010.01142.x

    PubMed  Google Scholar 

  16. Prescher A (2000) Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur J Radiol 35:88–102. doi:10.1016/S0720-048X(00)00225-4

    Article  PubMed  CAS  Google Scholar 

  17. Salter EG Jr, Nasca RJ, Shelley BS (1987) Anatomical observations on the acromioclavicular joint and supporting ligaments. Am J Sports Med 15:199–206. doi:10.1177/036354658701500301

    Article  PubMed  Google Scholar 

  18. Salzmann GM, Paul J, Sandmann GH et al (2008) The coracoidal insertion of the coracoclavicular ligaments: an anatomic study. Am J Sports Med 36:2392–2397. doi:10.1177/0363546508322887

    Article  PubMed  Google Scholar 

  19. Schubert F (1997) ‘Duplication’ of the clavicle or ossification in coracoclavicular ligament. Australas Radiol 41:70–72. doi:10.1111/j.1440-1673.1997.tb00475.x

    Article  PubMed  CAS  Google Scholar 

  20. Stine IA, Vangsness CT Jr (2009) Analysis of the capsule and ligament insertions about the acromioclavicular joint: a cadaveric study. Arthroscopy 25:968–974. doi:10.1016/j.arthro.2009.04.072

    Article  PubMed  Google Scholar 

  21. Takase K (2010) The coracoclavicular ligaments: an anatomic study. Surg Radiol Anat: SRA 32:683–688. doi:10.1007/s00276-010-0671-z

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Anatomy Sector, Department of Cellular Physiology and Metabolism, Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211, Geneva 4, Switzerland

    Bojan V. Stimec & Jean H. D. Fasel

  2. Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva 14, Switzerland

    Alexandre Lädermann

  3. Division of Orthopaedics and Trauma Surgery, Latour Hospital, Av. J.-D. Maillard 3, 1217, Meyrin, Switzerland

    Alexandre Lädermann

  4. Faculty of Medicine, Histology Core Facility, University of Geneva, Rue Michel-Servet 1, 1211, Geneva 4, Switzerland

    Annelise Wohlwend

Authors
  1. Bojan V. Stimec
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alexandre Lädermann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Annelise Wohlwend
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jean H. D. Fasel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alexandre Lädermann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stimec, B.V., Lädermann, A., Wohlwend, A. et al. Medial coracoclavicular ligament revisited: an anatomic study and review of the literature. Arch Orthop Trauma Surg 132, 1071–1075 (2012). https://doi.org/10.1007/s00402-012-1512-9

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-012-1512-9

Keywords

Search

Navigation