{"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":1791946875585,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopytechniques.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Current techniques used in the surgical management of high\u2010grade acromioclavicular joint separation injuries suffer from high rates of postoperative complications. Failure of fixation is the most common adverse event, occurring in approximately 20% of patients. Although it occurs less frequently, postoperative fracture of the clavicle or coracoid involving iatrogenic drill tunnels is a potentially devastating complication that may be avoidable. Capitalizing on the unique structural properties of a commercially available suture tape cerclage, members of the current author group previously published our preferred technique for all\u2013suture tape cerclage reconstruction of the coracoclavicular interval. This technique, however, involved the creation of a drill tunnel through the clavicle for suture passage. After observing 2 patients experience postoperative fractures involving this tunnel, we believed that this technique could be improved on. The resulting modified tunnel\u2010less procedure presented in this article maintains the advantages of the original all\u2013suture tape cerclage technique\u2014namely negligible risk of hardware irritation, limited material requirements, and reliable maintenance of reduction\u2014while reducing the risk of postoperative fracture. In this modified procedure, the suture tape is shuttled around the clavicle, rather than through it, and at no point is cortical bone violated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf03970:atn2bf03970-vimg-0001\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103752","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T19:41:56Z","timestamp":1753299716000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tunnel\u2010less Modification of the All\u2013Suture Tape Cerclage Technique for Reconstruction of the Coracoclavicular Ligament Complex"],"prefix":"10.1002","volume":"14","author":[{"given":"William A.","family":"Ranson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Icahn School of Medicine at Mount Sinai New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Capotosto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Icahn School of Medicine at Mount Sinai New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph 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