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Curr Rev Musculoskelet Med. 2016 Dec;9(4):368-377.

Shoulder acromioclavicular joint reconstruction options and outcomes.

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Orthopaedic Surgery House Officer, University of Michigan Health System, 1500 E. Medical Center Dr., TC2912, Ann Arbor, MI, 48109-5328, USA.
Harold and Helen W. Gehring Professor of Orthopaedic Surgery, Chief, Sports Medicine and Shoulder Surgery, University of Michigan Health System, Domino's Farms - MedSport, 24 Frank Lloyd Wright Drive, Lobby A, P.O. Box 391, Ann Arbor, MI, 48106, USA.


Acromioclavicular joint separations are a common cause of shoulder pain in the young athletic population. In high-grade injuries, acromioclavicular joint reconstruction procedures may be indicated for functional improvement. There is currently no gold standard for the surgical management of these injuries. Multiple reconstructive options exist, including coracoclavicular screws, hook plates, endobutton coracoclavicular fixations, and anatomic ligament reconstructions with tendon grafts. This article aims to review pertinent acromioclavicular joint anatomy and biomechanics, radiographic evaluation, classification system, as well as reconstruction options, outcomes, and complications.


Acromioclavicular joint injury; Complications; Ligament reconstruction; Outcomes

Conflict of interest statement

Simon Lee and Asheesh Bedi declare that they have no conflicts of interest. Human and Animal Rights and Informed Consent This article does not contain any studies with human or animal subjects performed by any of the authors.

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