A gold standard for the reconstruction of the coracoclavicular complex has yet to emerge for the treatment of separation of the acromioclavicular joint. Most of the current techniques not only fail to recreate the original anatomy, but also do not use materials that are strong enough to maintain the reduction during the healing process. Using a weak and nonanatomical construct has predictably l...

BACKGROUND The optimal operative method for acromioclavicular joint reconstruction remains controversial. The modified Weaver-Dunn method is one of the most popular methods. Anatomic reconstruction of coracoclavicular ligaments with autogenous tendon grafts, widely used in treating chronic acromioclavicular joint instability, reportedly diminishes pain, eliminates sequelae, and improves functio...

BACKGROUND Lateral clavicle fractures have been reported after coracoclavicular (CC) ligament reconstructions with bone tunnels through the clavicle. PURPOSE To biomechanically compare clavicle strength following 2 common CC reconstruction techniques with different bone tunnel diameters. STUDY DESIGN Controlled laboratory study. METHODS Testing was performed on 2 groups of matched-pair ca...

The current study compared tunnel diameter as an independent risk factor for fixation failure from the coracoid after transcoracoid coracoclavicular reconstruction. The effect of variation in coracoid size and scapular bone density on fixation failure was also studied. Sixty-two cadaveric scapulae were randomized into 1 of 4 groups: a control group with no coracoid hole, a group with a 4-mm tra...