Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 37-46, March 2010

The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

  • Brad C. Carofino, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Brad C. Carofino, MD, University of Connecticut Health Center, Department of Orthopaedic Surgery, 263 Farmington Avenue, Farmington, CT 06030.
    • ,
  • Augustus D. Mazzocca, MS, MD

Department of Orthopaedic Surgery, University of Connecticut Health Center, New England Musculoskeletal Institute, Farmington, CT

The anatomic coracoclavicular ligament reconstruction (ACCR) is a surgical procedure to address acriomioclavicular joint instability. The coracoclavicular ligaments are reconstructed using a semitendinosus allograft passed beneath the coracoid and through bone tunnels in the clavicle. The graft is secured with interference screw fixation, and the acromioclavicular joint is retained. Here we describe the authors' surgical technique, indications, and rehabilitation protocol. Also, a preliminary case series of seventeen patients is presented. Patients demonstrated significant improvement in pain levels and function. The mean ASES score increased from 52 preoperatively to 92. The Constant Murley rose from 66.6 to 94.7. There were three failures in this series, and two required revision surgery.

Level of Evidence: Review Article

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PII: S1058-2746(10)00007-8

doi:10.1016/j.jse.2010.01.004

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 37-46, March 2010

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