Chronic acromioclavicular joint (ACJ) injuries can cause a considerable amount of discomfort and functional problems of the shoulder. This technique shows the open surgical reconstruction of this joint by reconstructing the coracoclavicular and superior ACJ ligaments using a hamstring graft. The graft is passed around the coracoid bone and then passed through fashioned holes within the clavicle. It is secured and tensioned in place with biotenodesis screws. The redundant limbs of the graft are then used to reconstruct the superior ACJ ligament.
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