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Anatomy · Upper limb and brachial plexus: acromioclavicular joint
Sample itemA cyclist falls onto the tip of the shoulder and has a step deformity over the lateral clavicle with the clavicle riding upward. Which ligament, anchoring the clavicle to the scapula, has been torn?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Coracoclavicular ligament
The coracoclavicular ligament (conoid and trapezoid parts) is the main stabiliser of the clavicle to the coracoid process. When it tears in acromioclavicular dislocation, the scapula drops away and the clavicle appears to ride upward.
Option by option
A. Coracoclavicular ligament (correct)
Correct. Tearing of this ligament lets the clavicle ride up.
B. Costoclavicular ligament
This connects the medial clavicle to the first rib, not the lateral end of the clavicle.
C. Coracoacromial ligament
This connects the coracoid and acromion above the humeral head and does not anchor the clavicle.
D. Glenohumeral ligament
This reinforces the shoulder joint capsule and does not hold the clavicle.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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