Double ENDOBUTTON acromioclavicular joint reconstruction. A, Continuous loop and suture limbs threaded through the ENDOBUTTON (Smith & Nephew, Memphis, TN) before deployment. B, ENDOBUTTON is passed through the continuous suture loop that has been pulled up through the prepared holes in the coracoid and clavicle. The free sutures will be passed through the peripheral holes in the button to secure it. C, Final appearance of the construct with an auxiliary stitch replicating the course to the trapezoid ligament.