How is the classification made in the case of an ankle joint dislocation?

Classifications of the shoulder joint dislocation serve the communication between specialists and allow a derivation of medical information Therapeutic measureswhich are summarized in recommended guidelines for the individual specialties.

There are two common classifications of ankle joint injuries, both of which are used in everyday clinical practice. This is the basis for the classification of both X-ray image.

Tossy classification of ankle joint dislocation

  • Tossy I: strain of the capsular ligament apparatus without visible displacement of the end of the collarbone to the roof of the shoulder
  • Tossy II: Partial tear of the capsular ligament apparatus with displacement of the end of the collarbone to the shoulder roof by less than the width of the shaft of the collarbone.
  • Tossy III: Complete rupture of the capsular ligament apparatus with displacement of the end of the collarbone to the roof of the shoulder by more than the width of the shaft of the collarbone.

Appointment with a shoulder specialist

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I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

  • Lumedis - your orthopedic surgeon
    Kaiserstrasse 14
    60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

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Rockwood classification

The Rockwood classification is more precise than the Tossy classification and takes up rare forms of dislocation. It can be used to describe all dislocations of the shoulder joint.

  • Rockwood I: strain on the capsule / ligament apparatus. No shoulder joint instability (corresponds to Tossy I).
  • Rockwood II: partial tearing of the capsule / ligament apparatus (rupture of the acromioclavicular ligaments) with partial dislocation of the shoulder joint (corresponds to Tossy II).
  • Rockwood III: rupture of the entire capsule / ligament apparatus (rupture of the acromioclavicular ligaments and the coracoclavicular ligaments) with complete dislocation of the shoulder joint in the vertical plane towards the head, so-called shoulder joint dislocation (corresponds to Tossy III).
  • Rockwood IV: The lateral end of the collarbone is dislocated in the horizontal plane. It can get caught in the trapezius muscle.
  • Rockwood V: Extreme elevated collarbone with extensive detachment of the muscle attachments at the lateral end of the collarbone.
  • Rockwood VI: Dislocation of the lateral end of the collarbone to the foot under the coracoid.

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