Rockwood classification

Trauma and orthopaedics

Also known as: Rockwood-Klassifikation (AC-Gelenkverletzung, Schultereckgelenk) · Rockwood sınıflaması (akromiyoklaviküler eklem yaralanması) · Rockwood classification (acromioclavicular joint injuries)

What it is for

Six types of acromioclavicular (AC) joint injury by injury to the AC and coracoclavicular (CC) ligaments, the deltotrapezial fascia, and the direction and degree of clavicular displacement.

Classification

CategoryDescription
Type IAC ligament sprain; AC joint and CC ligaments intact; normal radiograph.
Type IIAC ligaments torn, CC ligaments sprained but intact; AC joint widened, slight vertical subluxation.
Type IIIAC and CC ligaments torn; clavicle displaced upward relative to the acromion, CC distance increased up to 100% (up to about twice the other side).
Type IVAC and CC ligaments torn; clavicle displaced posteriorly into or through the trapezius.
Type VAC and CC ligaments torn; marked upward displacement with the deltoid and trapezius detached from the distal clavicle, CC distance increased 100–300%.
Type VIclavicle displaced inferiorly below the acromion or the coracoid process (rare).

Source

Fractures and dislocations of the shoulder (chapter)

In: Rockwood CA Jr, Green DP, eds. Fractures in Adults. Lippincott, Philadelphia 1984:860–910 (Rockwood CA Jr)

Edition
Rockwood 1984 (types I–VI), expanding Tossy 1963
Checked on

Summary of the published classification in our own words. Not a substitute for the original publication.

A question about this classification?

Medelix answers clinical questions from guidelines and studies – every statement with its source.

← All classifications