Meet Mr. Fuller. While performing jujitsu he fell hard on his right shoulder. He knew something wasn’t right. He came into an injury clinic and we immediately obtained an MRI. Ryan fortunately revealed that he had a severe acromioclavicular separation along with a labral tear. We had a long talk about the different treatment options. Explained the challenges in trying to repair an acromioclavicular separation as severe as his. Given his active lifestyle we knew what we had to do. Using an author scopic technique Raible to successfully reduce his acromioclavicular separation. The before and after picture speak for himself. We also repaired his damage labrum and biceps. Remarkably in as little as a few months he was ready to get back to sport activity. It truly is a testament to his dedication to the rehabilitation.