Schematic representation of graft transfer sequence for the coracoid cerclage technique. Step 1: the leading end graft sutures are pulled through the conoid clavicle tunnel exiting the anterior portal. Step 2: using the suture loop that was previously placed under the coracoid; the leading end of the graft is then shuttled from lateral to medial below the coracoid exiting the supracoracoid portal. Step 3: the graft is shuttled through the supracoracoid portal exiting the trapezoid clavicle tunnel creating a crossing pattern. (AP, anterior portal; CS, conoid tunnel; SCP, supracoracoid portal; TS, trapezoid tunnel.)
Reproduced with permission.9