Arthroscopic Acromioclavicular Joint Repair

Abstract

As of yet, there is no consensus on the technique for repairing acute high-grade acromioclavicular joint disruptions. Several minimally invasive arthroscopic techniques that avoid the large incision associated with open reconstruction have been described. Previously described arthroscopic techniques require substantial (Z4 mm) drill holes for suture or graft passage through the coracoid process and clavicle. This potentially produces an increased risk for both traumatic and atraumatic fractures of the coracoid and the clavicle. We present a novel arthroscopic technique utilizing a 2.4-mm Beath pin under arthroscopic guidance with subsequent fixation utilizing a FiberTape and Endobutton hybrid fixation device.