The anatomic coracoclavicular ligament reconstruction

Clavicular Bone Tunnel Malposition Leads to Early Failures in Coracoclavicular Ligament Reconstructions

“…Costic et al 3 In the current series, 28.6% of patients lost intraoperative reduction despite using techniques similar to those previously described with good success. 2,10,14 When examining these patients more closely, several factors were found to be significant. The first was the pattern of bone tunnel position between those that failed early and those that did not.…”

“…3,8,11,19 One such technique that has been advocated is the anatomic coracoclavicular (CC) ligament reconstruction with 2 clavicular bone tunnels and a tendon graft. 2,10 This technique was developed after the surgeons had performed 5-in-5 an extensive evaluation of CC ligament anatomy and discovered a reliable method of determining the consistent insertions of the conoid and trapezoid on the clavicle. 13 Biomechanical evaluations of this technique have demonstrated it to be stronger than the traditional WeaverDunn procedure.…”

Anatomy of the Clavicle and Coracoid Process for Reconstruction of the Coracoclavicular Ligaments

“…The trapezoid tunnel is created 15 mm lateral to this tunnel ( Figure 5). 11 The relationship between CC ligament origins to clavicle length is useful clinically. According to the results of this study, an anatomic reconstruction of the CC ligaments would be refined as follows: the clavicle length (L c ) can be measured intraoperatively as the distance between the AC and sternoclavicular joints.…”

Acromioclavicular Joint Problems in Athletes and New Methods of Management

“…64 From a biomechanical perspective, the importance of the CC and AC ligaments in controlling superior and horizontal translations has been elucidated. 1,3,84,85 In fact, failure to surgically reproduce the conoid, trapezoid, and AC ligament function with current techniques may explain the observed incidence of recurrent instability and pain.…”