{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:01:15Z","timestamp":1791946875204,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T00:00:00Z","timestamp":1431907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T00:00:00Z","timestamp":1431907200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T00:00:00Z","timestamp":1431907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to report the clinical and structural outcomes after anatomic coracoclavicular ligament reconstruction (ACCR) with free tendon allografts in patients with grade III and grade V acromioclavicular (AC) joint dislocations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010one shoulders underwent primary ACCR with tendon allografts for Rockwood grade III and grade V AC joint dislocations. Preoperative data included patient demographic characteristics, injury characteristics, and surgical history, along with American Shoulder and Elbow Surgeons (ASES) scores, Short Form 12 Physical Component Summary (SF\u201012 PCS) scores, and various pain scales. Outcome measures were also collected a minimum of 2 years postoperatively with the addition of Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; Single Assessment Numeric Evaluation (SANE) scores; and patient satisfaction. In addition, preoperative and postoperative coracoclavicular distances were analyzed using standard anteroposterior radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ACCR was performed in 31 patients (31 shoulders) with a mean age of 43.9 years (range, 21 to 71 years). In 7 patients (22.6%) a complication occurred that required a subsequent surgical procedure including graft rupture\/attenuation (2), clavicle fractures (2), distal clavicle hypertrophy (2), and adhesive capsulitis (1). Of the remaining 24 patients, 20 (83.3%) had subjective outcome data available after a minimum 2\u2010year follow\u2010up period (mean, 3.5 years; range, 2.0 to 6.2 years). The mean postoperative ASES and SF\u201012 PCS scores significantly improved when compared with the preoperative baseline values (58.9\n                      <jats:italic>v<\/jats:italic>\n                      93.8 for ASES scores [\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001] and 45.3\n                      <jats:italic>v<\/jats:italic>\n                      54.4 for SF\u201012 PCS scores [\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .007]). At final follow\u2010up, the SANE and QuickDASH scores were 89.1 and 5.6, respectively, with a median patient satisfaction rating of 9 of\u00a010.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients who did not require revision surgery showed excellent postoperative outcome scores: The mean ASES score was 93.8, the mean SANE score was 89.1, and the mean QuickDASH score was 5.6, with a median patient satisfaction rating of 9 of 10. Further study regarding ACCR techniques should focus on decreasing the risks of complications and maintaining reduction of the AC joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.03.034","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T18:48:01Z","timestamp":1432061281000},"page":"1962-1973","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":97,"title":["Two\u2010Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction"],"prefix":"10.1002","volume":"31","author":[{"given":"Peter J.","family":"Millett","sequence":"first","affiliation":[{"name":"Center for Outcomes\u2010based Orthopaedic Research Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"The Steadman Clinic Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilee P.","family":"Horan","sequence":"additional","affiliation":[{"name":"Center for Outcomes\u2010based Orthopaedic Research Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Warth","sequence":"additional","affiliation":[{"name":"Center for Outcomes\u2010based Orthopaedic Research Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,18]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"241","article-title":"Descriptive epidemiology of collegiate men\u2019s ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988\u20101989 through 2003\u20102004","volume":"42","author":"Agel J.","year":"2007","journal-title":"J\u00a0Athl Train"},{"key":"e_1_2_2_3_2","first-page":"255","article-title":"Descriptive epidemiology of collegiate men\u2019s lacrosse injuries: National Collegiate Athletic Association Injury Surveillance System, 1988\u20101989 through 2003\u20102004","volume":"42","author":"Dick R.","year":"2007","journal-title":"J\u00a0Athl Train"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505274718"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513504284"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512450162"},{"key":"e_1_2_2_7_2","first-page":"860","volume-title":"Fractures in adults","author":"Rockwood C.A.","year":"1984"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.005"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-008-0013-7"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B5.3680330"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-10-6"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0524-3"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511399379"},{"issue":"8","key":"e_1_2_2_14_2","first-page":"CD007429","article-title":"Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults","author":"Tamaoki M.J.","year":"2010","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197254060-00005"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.05.023"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275646"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310050301"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508324284"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281795"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509361160"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.08.016"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0666-z"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322891"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.01.004"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506297536"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2004.04.004"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490656"},{"key":"e_1_2_2_29_2","volume-title":"The design and analysis of clinical experiments","author":"Fleiss J.L.","year":"1986"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290022001"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507304715"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508323255"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509356976"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1124-3"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512445273"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.01.018"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512465591"},{"key":"e_1_2_2_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513502459"},{"key":"e_1_2_2_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-013-0242-2"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1745-2"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2013.3015"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.08.019"},{"key":"e_1_2_2_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512458571"},{"key":"e_1_2_2_44_2","doi-asserted-by":"crossref","unstructured":"Carbone S Postacchini R Gumina S. Scapular dyskinesis and SICK syndrome in patients with a chronic type III acromioclavicular dislocation. Results of rehabilitation.Knee Surg Sports Traumatol Arthroscin press available online 24 January 2014.doi:10.1007\/s00167\u2010014\u20102844\u20105.","DOI":"10.1007\/s00167-014-2844-5"},{"key":"e_1_2_2_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-1959-9"},{"key":"e_1_2_2_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2004.05.020"},{"key":"e_1_2_2_47_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2009.2808"},{"key":"e_1_2_2_48_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/86.8.1075"},{"key":"e_1_2_2_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.09.018"},{"key":"e_1_2_2_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.05.010"},{"key":"e_1_2_2_51_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092425"},{"key":"e_1_2_2_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514524159"},{"key":"e_1_2_2_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.07.257"},{"key":"e_1_2_2_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.10.010"},{"key":"e_1_2_2_55_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140528-52"},{"key":"e_1_2_2_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.02.004"},{"key":"e_1_2_2_57_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-012-9144-9"},{"key":"e_1_2_2_58_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2013.10.009"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806315002613?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806315002613?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2015.03.034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2015.03.034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2015.03.034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:55:31Z","timestamp":1773564931000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2015.03.034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,18]]},"references-count":57,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1016\/j.arthro.2015.03.034"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2015.03.034","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,18]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2015.03.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}