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abduction acromioclavicular joint acromion active anatomy anterior artery articular associated attachment axillary biceps body Bone Joint Surg brachial plexus capsule cause cent clavicle clavicular Clin clinical closed complete complications coracoclavicular coracoid deltoid described developed diagnosis direct dislocation displaced distal elevation evaluation examination external rotation extremity Figure ﬁrst ﬁxation force fracture fragment function glenohumeral glenohumeral joint glenoid greater humeral head impingement important inferior injury insertion instability internal lateral lesions ligament major medial method motion muscle neck nerve normal noted occur operative origin Orthop pain patient pectoralis performed placed plane portion position posterior present problem procedure proximal recurrent reduction repair reported rotator cuff scapula screw seen shoulder side stability sternoclavicular joint structures subluxation subscapularis superior supply supraspinatus surface surgery surgical syndrome tears technique tendon tion tissue trauma treated treatment tuberosity Type upper usually vessels weeks x-ray