Distal Clavicle Fracture Repair Utilizing Plate and Suture-Button Fixation: Optimizing Intraoperative Fluoroscopy

This is the case of a 44-year-old healthy right-hand-dominant man who fell off his mountain bike and sustained a right distal third clavicle fracture, classified as a type IIB (modified Neer Classification), with rupture of the coracoclavicular ligaments and vertical instability of the medial segment. The report demonstrates open reduction and internal fixation of the distal clavicle with a superior plate and coracoclavicular suture-button placement with a focus on optimizing intraoperative fluoroscopy. The use of optimal fluoroscopic views provides reproducible visualization of the coracoid base, greatly facilitating optimal suture-button placement to reduce the risk of coracoid fracture.