Acta Ortopédica Mexicana

Mata-Coronado FJ, Hinojosa-Olivares JA, González-Gutiérrez JA
Anatomical reconstruction of the acromioclavicular joint using autologous semitendinosus graft: modified surgical technique
Acta Ortop Mex 2019; 33 (4)

Language: Español
References: 15
Page: 247-251
PDF: 194.66 Kb.

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Introduction: Dislocation of the acromioclavicular joint is a common injury, which is observed mainly in young adults; indications for surgical management and the most appropriate technique remain controversial. Material and methods: We present a surgical technique, whose objective is the anatomical reconstruction of the coracoclavicular ligaments with autologous semitendinous graft, without tunnels in the collarbone and without fixing devices. Results: This technique is reliable for stabilizing the joint in the short term and we consider that it could neutralize the anteroposterior translation of the distal collarbone. Discussion: Studies are required to report on functional and radiological results, with the use of this surgical technique so that we can then point out that it has advantages over other therapeutic options existing today.

Key words: Surgery, acromiclavicular, semitendinous, dislocation, treatment.


  1. Headey J, Brooks JH, Kemp SP. The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med. 2007; 35(9): 1537-43.

  2. Pallis M, Cameron KL, Svoboda SJ, Owens BD. Epidemiology of acromioclavicular joint injury in young athletes. Am J Sports Med. 2012; 40(9): 2072–7.

  3. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007; 35(2): 316-29.

  4. Banffy MB, van Eck CF, Stanton M, ElAttrache NS. A single-tunnel technique for coracoclavicular and acromioclavicular ligament reconstruction. Arthrosc Tech. 2017; 6(3): e769-75. Available from:

  5. North AS, Wilkinson T. Surgical reconstruction of the acromioclavicular joint: can we identify the optimal approach? Strategies Trauma Limb Reconstr. 2018; 13(2): 69-74. Available from:

  6. Carofino BC, Mazzocca AD. The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications. J Shoulder Elbow Surg. 2010; 19(2 Suppl.): 37-46. Available from:

  7. Beitzel K, Sablan N, Chowaniec DM, Obopilwe E, Cote MP, Arciero RA, et al. Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation. Am J Sports Med. 2012; 40(3): 681-5.

  8. Park JP, Arnold JA, Coker TP, Harris WD, Becker DA. Treatment of acromioclavicular separations, a retrospective study. Am J Sports Med. 1980; 8(4): 251-6.

  9. Weinstein DM, McCann PD, Mcllveen SJ, Flatow EL, Bigliani LU. Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med. 1995; 23(3): 324-31.

  10. Rios CG, Arciero RA, Mazzocca AD. Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2007; 35(5): 811-7.

  11. Spiegl UJ, Smith SD, Euler SA, Dornan GJ, Millett PJ, Wijdicks CA. Biomechanical consequences of coracoclavicular reconstruction techniques on clavicle strength. Am J Sports Med. 2014; 42(7): 1724-30.

  12. Turman KA, Miller CD, Miller MD. Clavicular fractures following coracoclavicular ligament reconstruction with tendon graft. J Bone Joint Surg Am. 2010; 92(6): 1526-32. Available from:

  13. Thomas K, Litsky A, Jones G, Bishop JY. Biomechanical comparison of coracoclavicular reconstructive techniques. Am J Sports Med. 2011; 39(4): 804-10.

  14. Hegazy G, Safwat H, Seddik M, Al-Shal EA, Al-Sebai I, Negm M. Modified weaver-dunn procedure the use of semitendinosus autogenous tendon graft for acromioclavicular joint reconstruction. Open Orthop J. 2016; 10(1): 166-78. Available from:

  15. Saccomanno MF, Fodale M, Capasso L, Cazzato G, Milano G. Reconstruction of the coracoclavicular and acromioclavicular ligaments with semitendinosus tendon graft: a pilot study. Joints. 2014; 2(1): 6-14.