This technical note describes the first arthroscopic technique for reconstructing the coracoclavicular ligament complex in AC joint dislocation. It shows how to visualize the coracoid base from inside the glenohumeral joint and pass fixation through both the clavicle and coracoid. The authors report early experience in a small group of patients.
The anatomic principle here is what board questions on coracoclavicular reconstruction test: fixation passed through the center of the coracoid base restores native clavicular position, while a sling looped around the coracoid or a coracoacromial ligament transfer pulls the clavicle anteriorly and malreduces the joint.
Recall the specific failure mode this construct targets. Bioabsorbable PDS slings resorb and let the clavicle migrate superiorly, which is why the authors chose a strong nonabsorbable cable plus drilled bone dust for biologic healing. Weigh the evidence honestly. This is a technical note on 4 patients with short follow-up, so it establishes feasibility, not superiority.
Type III management remains debated. Many patients do well nonoperatively, and this paper does not resolve who needs surgery.
This technical note describes the first arthroscopic technique for reconstructing the coracoclavicular ligament complex in AC joint dislocation. It shows how to visualize the coracoid base from inside the glenohumeral joint and pass fixation through both the clavicle and coracoid. The authors report early experience in a small group of patients.
The anatomic principle here is what board questions on coracoclavicular reconstruction test: fixation passed through the center of the coracoid base restores native clavicular position, while a sling looped around the coracoid or a coracoacromial ligament transfer pulls the clavicle anteriorly and malreduces the joint.
Recall the specific failure mode this construct targets. Bioabsorbable PDS slings resorb and let the clavicle migrate superiorly, which is why the authors chose a strong nonabsorbable cable plus drilled bone dust for biologic healing. Weigh the evidence honestly. This is a technical note on 4 patients with short follow-up, so it establishes feasibility, not superiority.
Type III management remains debated. Many patients do well nonoperatively, and this paper does not resolve who needs surgery.