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Arthroscopic Suspensory Construct for Acute Acromioclavicular Joint Separation
Dezhou Tang1, Yang Chi1, Yuchen He1
1Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, China.
Arthroscopy Techniques
|January 16, 2026
Summary
Acromioclavicular joint separation, a common shoulder injury, can be reliably treated with a new all-arthroscopic technique. This method uses adjustable loops and button fixation for anatomic reconstruction, offering a dependable surgical option.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Acromioclavicular joint separation is a frequent shoulder injury impacting function.
- Current surgical treatments lack a universally accepted gold-standard technique.
Purpose of the Study:
- To describe a novel all-arthroscopic surgical technique for acromioclavicular joint separation.
- To evaluate the reliability of this technique for anatomic reconstruction.
Main Methods:
- An all-arthroscopic approach utilizing double adjustable loops.
- Triple-button fixation for coracoclavicular ligament complex reconstruction.
Main Results:
- The described technique allows for anatomic reconstruction of the coracoclavicular ligament complex.
- This method provides a reliable surgical option for acromioclavicular joint separation.
Conclusions:
- The all-arthroscopic technique with double adjustable loops and triple-button fixation is a reliable treatment for acromioclavicular joint separation.
- This approach offers an effective solution for restoring normal shoulder function.

