{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T12:30:57Z","timestamp":1770553857750,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T00:00:00Z","timestamp":1406678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T00:00:00Z","timestamp":1406678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Recently, many acromioclavicular\u2013coracoclavicular (AC\u2013CC) ligament reconstruction techniques address only the CC ligament. However, many of these techniques are costly, time\u2010consuming, and require the use of allogenic grafts, making them prone to creep and failure or novel devices making them challenging for orthopaedic surgeons. The purpose of this study was to compare the biomechanical characteristics of a double endobutton technique using a standard endobutton CL with those of a coracoid cerclage sling (CS) for reconstruction of the CC ligaments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Anterior\u2013posterior (AP) translation and superior\u2013inferior (SI) translation were quantified for eight matched pairs of intact AC joints. One shoulder from each pair underwent a double endobutton repair, using an endobutton CL modified with an additional endobutton (Smith &amp; Nephew, Memphis, Tenn) and placed through holes in the coracoid and clavicle. The contra\u2010lateral shoulder received a coracoid sling reconstruction using an anterior tibialis tendon. Translation testing was repeated after reconstruction, followed by load\u2010to\u2010failure testing. Paired <jats:italic>t<\/jats:italic> tests were used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The CS technique demonstrated a greater SI and AP translation than the double endobutton technique (<jats:italic>p<\/jats:italic> &lt; 0.05). Additionally, the double endobutton technique had a greater stiffness (40.2 \u00b1 11.0 vs. 20.3 <jats:italic>\u00b1<\/jats:italic> 6.4\u00a0N\/mm, <jats:italic>p<\/jats:italic> = 0.005), yield load (168.5 <jats:italic>\u00b1<\/jats:italic> 11.0 vs. 86.8 <jats:italic>\u00b1<\/jats:italic> 22.9\u00a0N, <jats:italic>p<\/jats:italic> = 0.002), and ultimate load (504.4 <jats:italic>\u00b1<\/jats:italic> 199.7 vs. 213.2 <jats:italic>\u00b1<\/jats:italic> 103.4\u00a0N, <jats:italic>p<\/jats:italic> = 0.026) when compared to the CS technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The double endobutton technique yielded less translation about the AC joint and displayed stronger load\u2010to\u2010failure characteristics than the CS reconstruction. As such, this technique may be better suited to restore native AC\u2013CC biomechanics, reduce post\u2010operative pain, and prevent recurrent subluxation and dislocation than an allogenic graft construct. The double endobutton technique may be a suitable option for addressing AC\u2013CC injuries.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-3198-8","type":"journal-article","created":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T03:40:36Z","timestamp":1406605236000},"page":"1918-1924","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["A biomechanical assessment of a novel double endobutton technique versus a coracoid cerclage sling for acromioclavicular and coracoclavicular injuries"],"prefix":"10.1002","volume":"24","author":[{"given":"Cori","family":"Grantham","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Keck School of Medicine University of Southern California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathanael","family":"Heckmann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Keck School of Medicine University of Southern California Los Angeles CA USA"},{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th. Street 90822 Long Beach CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Wang","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th. Street 90822 Long Beach CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Tibone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Keck School of Medicine University of Southern California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Struhl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Hospital for Joint Diseases New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thay Q.","family":"Lee","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th. Street 90822 Long Beach CA USA"},{"name":"University of California Irvine CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511416784"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.123904"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507312643"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504264637"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504263699"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505284187"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113\u2010011\u20102065\u2010z"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275646"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280010201"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010008\u20100684\u20107"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020501"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V37N4p294"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B4.8027149"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281795"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280031701"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.022"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509355645"},{"issue":"3","key":"e_1_2_7_19_1","first-page":"397","article-title":"Arthroscopic anatomical reconstruction of the acromioclavicular joint","volume":"74","author":"Salzmann G","year":"2008","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102041\u20103"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508324968"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/BTE.0b013e31815907a3"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510390482"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322524"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010010\u20101057\u2010x"},{"issue":"23","key":"e_1_2_7_26_1","first-page":"1587","article-title":"Comparative analysis of modified Dewar method versus arthroscopic double Endobutton fixation technique for the treatment of acute acromioclavicular joint dislocation","volume":"91","author":"Zhao L\u2010l","year":"2011","journal-title":"Zhonghua yi xue za zhi"},{"issue":"2","key":"e_1_2_7_27_1","first-page":"201","article-title":"Triple endobutton technique for repair of chronic complete acromioclavicular joint dislocations","volume":"26","author":"Zhu J","year":"2012","journal-title":"Zhongguo xiu fu chong jian wai ke za zhi= Zhongguo xiufu chongjian waike zazhi= Chin J Reparative Reconstr Surg"},{"issue":"9","key":"e_1_2_7_28_1","first-page":"653","article-title":"Clinical study on the treatment of acromioclavicular joint dislocation of Tossy grade III with double endobutton","volume":"22","author":"Zhu R\u2010T","year":"2009","journal-title":"Zhongguo gu shang = China J Orthop Traumatol"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-014-3198-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-014-3198-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-014-3198-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:19:49Z","timestamp":1760869189000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-014-3198-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,30]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1007\/s00167-014-3198-8"],"URL":"https:\/\/doi.org\/10.1007\/s00167-014-3198-8","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7,30]]}}}