Case: A 49-year-old man and a 37-year-old man with long oblique fractures of the distal clavicle were successfully treated with cerclage wiring fixation without detachment of the trapezius and deltoid muscles and exposure of the fracture site.
Conclusions: Long oblique fractures with the acromioclavicular and coracoclavicular ligaments being intact and attached to the distal fragment are relatively rare among distal clavicle fractures. Cerclage wiring fixation is a viable treatment option for the fixation of long oblique fractures of the distal clavicle, with good clinical results and rapid recovery of shoulder function.