{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T20:52:38Z","timestamp":1781643158666,"version":"3.54.5"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008814","name":"Universidade do Minho","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008814","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Radiol Anat"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acromioclavicular joint (ACJ) dislocation is a frequent shoulder injury, and high-grade cases often require surgical reconstruction. Although multiple techniques have been described, no single method has achieved consensus as the gold standard. The long head of the biceps tendon (LHBT) represents an attractive autologous option, as it is anatomically adjacent to the ACJ, preserves vascularity when used as a pedicled graft, and reduces donor-site morbidity. Building on prior anatomical studies, this cadaveric investigation describes and validates an arthroscopic technique for ACJ reconstruction using the LHBT. The graft is mobilized while maintaining its supraglenoid origin, passed through a clavicular tunnel under endoscopic and fluoroscopic guidance, and reinforced vertically with a suspensory (suture-button) device passing independently through a coracoclavicular tunnel, and with an acromioclavicular cerclage to enhance horizontal stability. The procedure proved feasible, reproducible, and safe with respect to anatomical landmarks and adjacent structures.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Clinical relevance<\/jats:bold>\n                    : This technique offers a biologically sound, minimally invasive alternative for ACJ reconstruction that may reduce morbidity and improve reproducibility compared with conventional graft-based procedures.\n                  <\/jats:p>","DOI":"10.1007\/s00276-026-03844-8","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T14:54:24Z","timestamp":1773413664000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The long head of the biceps tendon as a pedicled autograft for acromioclavicular joint reconstruction: development of an arthroscopic technique"],"prefix":"10.1007","volume":"48","author":[{"given":"Nuno","family":"Sevivas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Pinto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo Nunes","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo","family":"Barreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Catarina","family":"\u00c2ngelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Azevedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel Ribeiro","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Claro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Espregueira-Mendes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lder","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"L\u00e4dermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"3844_CR1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519831013","author":"GM Aliberti","year":"2020","unstructured":"Aliberti GM, Kraeutler MJ, Trojan JD, Mulcahey MK (2020) Horizontal instability of the acromioclavicular joint: A systematic review. 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He received royalties from Stryker and Medacta. He is the (co-)founder of FORE, Med4Cast, and BeeMed. He owns stock options in BeeMed and Follow Health. He is on the board of the French Arthroscopic Society.\tOther authors declare no conflicts of interest.Alexandre L\u00e4dermann is a paid cons ultant for Arthrex, Stryker, and Medacta. He received royalties from Stryker and Medacta. He is the (co-)founder of FORE, Med4Cast, and BeeMed. He owns stock options in BeeMed and Follow Health. He is on the board of the French Arthroscopic Society. Other authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"88"}}