We describe an arthroscopic reconstruction technique for acromioclavicular
joint dislocation. Subsequent to Baum's first repair of the coracoclavicula
r complex in 1886, over 60 operative procedures have been described in the
literature. This procedure is the first described arthroscopic approach use
d in reconstruction for acromioclavicular dislocation. It provides an anato
mically correct and structurally sound reconstruction of the coracoclavicul
ar ligament complex. This arthroscopic technique is also a cosmetically ple
asing alternative to previously described open procedures for reconstructio
n of acromioclavicular joint dislocations. As with most arthroscopic proced
ures, this technique achieves its goals with minimal morbidity and violatio
n of the surrounding soft tissues.