Review ArticlesManagement of the Failed AC Joint Reconstruction: Causation and TreatmentGeaney, Lauren E. MD*; Miller, Mark D. MD†; Ticker, Jonathan B. MD‡; Romeo, Anthony A. MD§; Guerra, James J. MD∥; Bollier, Matthew MD*; Arciero, Robert A. MD*; DeBerardino, Thomas M. MD*; Mazzocca, Augustus MD*Author Information *Department of Orthopedics, University of Connecticut, Farmington CT †Department of Orthopedics, University of Virginia, Charlottesville, VA ‡Island Orthopedics and Sports Medicine, Massapequa, NY §Division of Sports Medicine, Department of Orthopedics, Rush University, Chicago, IL ∥Collier Sports Medicine in Naples, FL Reprints: Augustus Mazzocca, MD, Department of Orthopaedics, Medical Arts and Research Building, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06034-4038 (e-mail: email@example.com; firstname.lastname@example.org). Sports Medicine and Arthroscopy Review: September 2010 - Volume 18 - Issue 3 - p 167-172 doi: 10.1097/JSA.0b013e3181eaf6f7 Buy Metrics Abstract With recent studies showing improved biomechanical behavior of anatomic acromioclavicular joint reconstructions, these techniques are more frequently being performed. With both the more historic methods of fixation such as coracoacromial ligament transfer along with the newer anatomic reconstruction, potential for failure exists. However, there is a paucity of literature addressing these failures and possible treatment options. The purpose of this review is to report cases of failed reconstructions, describe failure mechanisms, and propose treatment options. © 2010 Lippincott Williams & Wilkins, Inc.