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[1] The procedure is done to replace the coracoclavicular ligaments with the coracoacromial ligament. [2] There is currently no "gold standard" surgery to repair acromioclavicular separations, and many surgeries have been created. However, this is one of the more common fixes. The original surgery is described as follows.
The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula. [1] It is not part of the acromioclavicular joint articulation, but is usually described with it, since it keeps the clavicle in contact with the acromion. It consists of two fasciculi, the trapezoid ligament in front, and the conoid ligament behind. [2]
The coracoacromial ligament originates from the summit of the acromion of the scapula, just in front of the articular surface for the clavicle. [1] It inserts by its broad base along the whole length of the lateral border of the coracoid process of the scapula. [1] The clavicle and under surface of the deltoid muscle are above it.
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The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major.. It occupies the interval between the pectoralis minor and subclavius, and protects the axillary vein and artery, and axillary nerve.
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There is a 2- to 3-fold increase in the coracoclavicular distance, causing such a severe displacement that the clavicle almost pierces the skin. [11] The humerus and scapula drop without having the clavicular strut to lift them, which manifests as a severely drooping shoulder. [ 11 ]