TightRope fixation of complex acromioclavicular separation: A high-wire act

Numerous techniques have evolved for acromioclavicular joint fixation over the past decade to help decrease the risk of hardware complications and improve patient satisfaction. One of these techniques involves the TightRope system, which employs two titanium endobuttons to help reduce and secure the coracoclavicular joint. Clinical outcomes have been favorable, as orthopedic surgeons have gained more experience using this nonrigid system. It is important for radiologists to be aware of the radiographic appearance of this device and its associated complications.