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abduction abnormal acromioclavicular joint acromion active anatomic angle anterior appears artery arthroscopic associated attached axillary biceps body Bone Joint Surg brachial plexus branches capsule cause clavicle clavicular clinical complete compression Congenital coracoclavicular deformity deltoid demonstrated described direct dislocation displaced elevation evaluation examination external rotation extremity Figure fixation force fracture fragment function glenohumeral glenohumeral joint glenoid greater humeral head important indicated inferior injury insertion instability internal involved lateral lesions ligament major medial motion muscle neck nerve normal noted occur operative origin Orthop pain patient pectoralis placed plane portion position posterior present procedure proximal reduction removed repair reported rotator cuff scapula screw seen separation shoulder side space stability sternoclavicular joint structures superior surface surgery surgical suture syndrome tears technique tendon thoracic tion tissue trauma treated treatment tuberosity upper usually vessels x-ray