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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]
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 ]
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The coracoacromial ligament may impinge and compress rotator cuff muscle or tendon. [3] It may be damaged during a shoulder injury. [4] The attachment of the coracoacromial ligament may be moved from acromion to the end of the clavicle when reconstructing the acromioclavicular joint. [5] [6] This often fails. [5]
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