Classification | Description | Notes |
Type 1 | AC Joint strain | Normal radiograph |
Type 2 | AC disrupted, CC strain | Mild vertical separation (normal AC interval 5-8 mm) |
Type 3 | AC and CC disrupted | CC distance 25-100% of contralateral side (or less than 2.5 cm) |
Type 4 | AC, CC disrupted, Deltoid-trapezium fascia disrupted | Distal clavicle positioned posterior to acromion |
Type 5 | AC, CC disrupted, Deltoid-trapezium fascia disrupted | Subcutaneous distal clavicle, superiorly displaced (CC distance >2.5 cm) |
Type 6 | AC, CC disrupted, Deltoid-trapezium fascia disrupted | Rare: Distal clavicle positioned inferior to coracoid |
Reference:
Gorbaty, J. D., et al. (2017). “Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations.” Clinical Orthopaedics and Related Research® 475(1): 283-287.
Rockwood CA Jr. Fractures and dislocations of the shoulder. In: Rockwood CA Jr, Green DP, eds. Fractures in Adults. Philadelphia, PA: Lippincott; 1984:860–910.