{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:03:45Z","timestamp":1790013825814,"version":"4.0.1"},"reference-count":31,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Dislocation of the acromioclavicular joint (ACJ) is a common injury for which numerous operative fixation and reconstructive techniques have been described. This technique combines a coracoclavicular ligament (CC) repair with an acromioclavicular ligament (AC) and CC reconstruction with an additional ACJ internal brace to address both horizontal and vertical instability. Methods: The surgery is performed through a superior approach in the following sequence: (1) CC ligaments are repaired using a TightRope construct, (2) CC reconstruction is performed using a peroneus longus tendon allograft, (3) AC ligaments are repaired using an internal brace, and (4) AC reconstruction is performed with a second peroneus longus tendon allograft. The results of consecutive patients with grade IIIB, IV, and V AC joint dislocations were included. Results: Six patients with acute and six patients with chronic injuries were eligible for inclusion. The Constant\u2013Murley Score improved significantly from 27.6 (8.0\u201356.5) to 61.5 (42.0\u201392.0) (p = 0.006 paired t-test) at 12 months of follow-up. There was one complication (frozen shoulder) from which the patient recovered spontaneously; no other complications were observed with this technique. The coracoclavicular distance (CCD) was reduced from 18.7 mm (13.0\u201324.0) to 10.0 mm (6.0\u201316.0, p &lt; 0.001) and 10.5 mm (8.0\u201314.0, p = 0.002) at 12 weeks and 12 months, respectively. Conclusions: This study describes a new technique to treat acute and chronic Rockwood stage IIIB\u2013V ACJ dislocations with promising short-term clinical and radiological results. The results suggest that the combined repair and reconstruction of the AC and CC ligaments is a safe procedure with low complication risk in experienced hands. Addressing the vertical and horizontal stability in ACJ dislocation is key to achieving optimal long-term results. Further, follow-up is required to investigate the long-term outcomes.<\/jats:p>","DOI":"10.3390\/jcm14051730","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T09:01:33Z","timestamp":1741078893000},"page":"1730","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Combined Repair and Reconstruction of Coracoclavicular and Acromioclavicular Ligaments for Acute and Chronic AC Joint Dislocations: A Technical Note and Prospective Case Series"],"prefix":"10.3390","volume":"14","author":[{"given":"Freek","family":"Hollman","sequence":"first","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7220-2304","authenticated-orcid":false,"given":"Mohammad Nedal","family":"Jomaa","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagmani","family":"Singh","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Parey\u00f3n","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1623-8489","authenticated-orcid":false,"given":"Helen M. A.","family":"Ingoe","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3260-4736","authenticated-orcid":false,"given":"Sarah L.","family":"Whitehouse","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6445-1159","authenticated-orcid":false,"given":"Rohit Mahesh","family":"Sane","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9050-5621","authenticated-orcid":false,"given":"Tristan","family":"Shuker","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9784-8574","authenticated-orcid":false,"given":"Kenneth","family":"Cutbush","sequence":"additional","affiliation":[{"name":"Queensland Unit for Advanced Shoulder Research QUASR, Queensland University of Technology, Brisbane, QLD 4000, Australia"},{"name":"NOA-Southside Clinical Unit, School of Medicine, Faculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, QLD 4072, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1177\/0363546506298022","article-title":"Evaluation and Treatment of Acromioclavicular Joint Injuries","volume":"35","author":"Mazzocca","year":"2007","journal-title":"Am. 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