{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:30Z","timestamp":1787755350659,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 48-year-old male patient with a type V acromioclavicular injury with a 3-tendon acute cuff tear, anterior glenohumeral dislocation, and an axillary posttraumatic neuropathy is presented. The rotator cuff tear was sutured and an all-arthroscopic\u2013modified coracoclavicular ligaments (CCLs) reconstruction technique was performed with a gracilis tendon graft and a double knotless suture fixation system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>An arthroscopic approach allows the surgeon to identify and treat associated glenohumeral lesions in type V acromioclavicular dislocations. In addition, the modified CCL reconstruction technique addresses effectively the AC instability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00234","type":"journal-article","created":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T19:59:21Z","timestamp":1566417561000},"page":"e0234-e0234","source":"Crossref","is-referenced-by-count":2,"title":["A Modified Arthroscopic Technique of Gracilis Tendon Graft with Double Fixation System for Treatment of Type V Acromioclavicular Injuries"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3319-5065","authenticated-orcid":false,"given":"Mikel","family":"Aramberri-Guti\u00e9rrez","sequence":"first","affiliation":[{"name":"Shoulder and Sports Medicine Unit, Alai Sports Medicine Clinic, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3191-529X","authenticated-orcid":false,"given":"Albert","family":"Ferrando","sequence":"additional","affiliation":[{"name":"Shoulder and Sports Medicine Unit, Alai Sports Medicine Clinic, Madrid, Spain"},{"name":"Hospital Universitari i Polit\u00e8cnic La Fe, Avinguda de Fernando Abril Martorell, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9401-9172","authenticated-orcid":false,"given":"Giovanni","family":"Tiso D'Orazio","sequence":"additional","affiliation":[{"name":"Shoulder and Sports Medicine Unit, Alai Sports Medicine Clinic, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6674-0824","authenticated-orcid":false,"given":"Fernando","family":"Sines Castro","sequence":"additional","affiliation":[{"name":"Shoulder Unit, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3879-4876","authenticated-orcid":false,"given":"I\u00f1aki","family":"Mediavilla","sequence":"additional","affiliation":[{"name":"Hospital de Basurto, Aitira Clinic, Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"6","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"e2283","DOI":"10.1016\/j.eats.2017.08.039","article-title":"Revision acromioclavicular-coracoclavicular reconstruction: use of precontoured button and 2 allografts","volume":"6","author":"Haber","year":"2017","journal-title":"Arthrosc Tech."},{"key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"e196","DOI":"10.1016\/j.jse.2017.12.015","article-title":"Truly anatomic coracoclavicular ligament reconstruction with 2 Endobutton devices for acute Rockwood type V acromioclavicular joint dislocations","volume":"27","author":"Xue","year":"2018","journal-title":"J Shoulder Elbow Surg."},{"issue":"1","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"e139","DOI":"10.1016\/j.eats.2015.10.011","article-title":"Minimally invasive anterior semitendinosus harvest: a technique to decrease saphenous nerve injury","volume":"5","author":"Colombet","year":"2016","journal-title":"Arthrosc Tech."},{"issue":"1","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1016\/j.eats.2011.12.006","article-title":"All-arthroscopic double-bundle coracoclavicular ligament reconstruction using autogenous semitendinosus graft: a new technique","volume":"1","author":"Ranne","year":"2012","journal-title":"Arthrosc Tech."},{"issue":"1","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jse.2012.03.003","article-title":"Acute surgical treatment of acromioclavicular dislocation type V with a hook plate: superiority to late reconstruction","volume":"22","author":"von Heideken","year":"2013","journal-title":"J Shoulder Elb Surg."},{"issue":"3","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1080\/08941939.2017.1305022","article-title":"Comparison of the tight rope technique and clavicular hook plate for the treatment of Rockwood type III acromioclavicular joint dislocation","volume":"31","author":"Cai","year":"2018","journal-title":"J Invest Surg."},{"issue":"8","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1007\/s00264-017-3469-3","article-title":"Concomitant glenohumeral pathologies associated with acute and chronic grade III and grade V acromioclavicular joint injuries","volume":"41","author":"Jensen","year":"2017","journal-title":"Int Orthop."},{"issue":"6","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"e681","DOI":"10.1016\/j.eats.2015.07.029","article-title":"Arthroscopically assisted treatment of acute dislocations of the acromioclavicular joint","volume":"4","author":"Braun","year":"2015","journal-title":"Arthrosc Tech."},{"issue":"suppl 6","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"S113","DOI":"10.1016\/j.injury.2015.10.060","article-title":"Is AC TightRope fixation better than Bosworth screw fixation for minimally invasive operative treatment of Rockwood III AC joint injury?","volume":"46","author":"Darabos","year":"2015","journal-title":"Injury."},{"issue":"6","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s00590-016-1797-4","article-title":"Comparison of surgical outcomes between fixation with hook plate and loop suspensory fixation for acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis","volume":"26","author":"Arirachakaran","year":"2016","journal-title":"Eur J Orthop Surg Traumatol."},{"issue":"2","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.csm.2017.12.002","article-title":"Shoulder acromioclavicular and coracoclavicular ligament injuries: common problems and solutions","volume":"37","author":"Wylie","year":"2018","journal-title":"Clin Sports Med."},{"issue":"1","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s00167-017-4728-y","article-title":"Risk of fracture of the acromion depends on size and orientation of acromial bone tunnels when performing acromioclavicular reconstruction","volume":"26","author":"Dyrna","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["JBJS Case 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