{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:20:36Z","timestamp":1785424836891,"version":"3.56.0"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report long\u2010term outcomes at over a 10\u2010year follow\u2010up after arthroscopic coracoclavicular (CC) ligament reconstruction using a double\u2010bundle soft tissue allograft coracoid cerclage technique for chronic (&gt;4 weeks), high\u2010grade (type V) acromioclavicular (AC) dislocations in an active\u2010duty military population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing arthroscopic CC ligament reconstruction for chronic type V AC dislocations between March 2011 and December 2013 with a minimum 10\u2010year follow\u2010up (range, 10\u201012.8 years) were eligible for inclusion in this retrospective case series. Outcomes measures included the pain visual analog scale; Single Assessment Numeric Evaluation; Constant score; American Shoulder and Elbow Surgeons score; Simple Shoulder Test; range of motion, including forward flexion, external rotation, and internal rotation; and rates of return to active duty and sports participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 19 patients (average age of 26.1 \u00b1 6.7 years, 100% male) met inclusion criteria. The mean follow\u2010up was 134.2 \u00b1 10.4 months. All patients had a profound decrease in pain, as measured by the pain visual analog scale, and a marked, sustained improvement in functional outcomes at final follow\u2010up, as determined by the Single Assessment Numeric Evaluation, Constant score, Simple Shoulder Test, and American Shoulder and Elbow Surgeons scores (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001 for all). There were no statistically significant differences between preoperative and postoperative range of motion (forward flexion,\n                      <jats:italic>P<\/jats:italic>\n                      = .3382; external rotation,\n                      <jats:italic>P<\/jats:italic>\n                      = .2350; internal rotation,\n                      <jats:italic>P<\/jats:italic>\n                      = .2590). Overall, 94.7% (n = 18\/19) of patients were able to remain on active duty, and 89.5% (n = 17\/19) of patients returned to sport, of whom 94.1% (n = 16\/17) were able to return to sport at prior levels. One patient experienced superficial wound infection, 1 developed AC osteoarthritis, and 1 progressed to asymptomatic loss of reduction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Outcomes after arthroscopic CC reconstruction for chronic type V AC dislocations in an active\u2010duty military patient population show sustained and statistically significant improvements in functional outcomes as well as high rates of return to sport and active duty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.05.008","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T11:05:46Z","timestamp":1747134346000},"page":"4429","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Arthroscopic Coracoclavicular Ligament Reconstruction With Double\u2010Bundle Soft Tissue Allograft for Chronic Type V Acromioclavicular Dislocations Shows Excellent Patient Outcomes and Return to Duty and Sport at Minimum 10\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"41","author":[{"given":"Alexis B.","family":"Sandler","sequence":"first","affiliation":[{"name":"William Beaumont Army Medical Center\/Texas Tech University Health Sciences Center El Paso El Paso Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Scanaliato","sequence":"additional","affiliation":[{"name":"William Beaumont Army Medical Center\/Texas Tech 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