Why Technique Matters for Severe AC Joint Separation Repair

An acromioclavicular (AC) joint separation is one of the most common shoulder injuries, often occurring in athletes and active individuals. While mild cases may heal with rest and rehabilitation, severe AC joint separations typically require surgical repair. The challenge lies not just in fixing the joint but in restoring long-term stability and function. This is where technique truly matters.

At his clinics in New York City and Westchester, Dr. Steven Struhl, a board-certified orthopedic surgeon with advanced fellowship training in sports medicine, has dedicated over two decades to perfecting AC joint repair. Internationally recognized for his research and surgical innovation, Dr. Struhl developed a patented Triple Endobutton technique that delivers superior outcomes compared to traditional procedures.

The Real Problem: Scapula vs. Clavicle

Traditional thinking about AC joint separations has focused on the clavicle moving upward after injury. Dr. Struhl’s research has shown that the real issue lies in the scapula moving downward due to torn ligaments. This subtle but critical distinction has changed the way surgeons approach reconstruction.

By shifting the focus to lifting and securing the scapula back up to the clavicle, Dr. Struhl’s technique restores proper anatomical alignment and function—leading to more reliable and lasting results.

Why Standard Procedures Fall Short

Many traditional AC joint repair techniques only address vertical instability, leaving medial (horizontal) instability untreated. This oversight is a major reason for high failure rates, recurrent pain, and loss of shoulder strength after surgery.

Patients who undergo standard procedures may initially feel improvement, only to experience instability and functional limitations months or years later.

Dr. Struhl’s Patented Triple Endobutton Technique

To solve these challenges, Dr. Struhl pioneered the Triple Endobutton technique, a patented method that addresses both vertical and medial instability.

Advantages of the Triple Endobutton approach include:

Restores vertical stability: Corrects downward scapular movement.
Restores medial stability: Prevents horizontal displacement of the clavicle.
Stronger fixation: Provides secure, durable reconstruction.
Lower failure rates: Significantly reduces the risk of recurrent instability compared to standard repairs.
Proven outcomes: Supported by peer-reviewed research and long-term patient success stories.

By recreating the natural biomechanics of the shoulder, this technique allows patients to regain strength, stability, and range of motion more effectively.

Expertise You Can Trust

Dr. Steven Struhl is more than just an orthopedic surgeon—he is a world leader in AC joint repair. With over 25 years of clinical experience and advanced fellowship training in sports medicine, Dr. Struhl has treated athletes of all levels as well as active patients seeking to return to pain-free function.

Patients from across New York City, Westchester, and internationally come to Dr. Struhl for his expertise in complex shoulder injuries. His unique combination of surgical innovation, evidence-based practice, and personalized care has earned him recognition as one of the foremost authorities on AC joint reconstruction.

Why Technique Matters

When it comes to severe AC joint separation, the difference between temporary relief and long-term success lies in surgical technique. By addressing both vertical and medial instability, Dr. Struhl’s patented method offers results that standard approaches cannot match.

If you’ve been told you need AC joint surgery—or if you’re still experiencing pain after a previous repair—choosing the right surgeon and the right technique can make all the difference.

Schedule a Consultation

If you are suffering from a severe AC joint separation, trust your recovery to the surgeon who redefined how this injury is treated. Dr. Steven Struhl, with clinics in NYC and Westchester, is internationally recognized for his patented Triple Endobutton technique and his commitment to helping patients restore full, pain-free shoulder function.

Posted on behalf of Steven Struhl MD