Acromioclavicular Joint Reconstruction Using an Artificial Ligament With Palmaris Longus Autograft Augmentation

Acromioclavicular joint disruption is one of the commonest shoulder injuries, particularly in the young male athletic population. There are several techniques described in literature to treat acute and chronic injuries, although there is no gold standard. In this Technical Note, we describe an open technique to treat high-grade acute and chronic acromioclavicular joint disruption using an artificial ligament along with palmaris longus graft augmentation to replicate the conoid and trapezoid ligaments.