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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
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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.

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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.