Background: Acromioclavicular (AC) joint injuries are common and account for approximately 9% of shoulder girdle injuries. These injuries are generally described using the Rockwood classification according to the integrity of the AC and coracoclavicular (CC) ligaments as well as direction of clavicular displacement. In general, types 4 through 6 are indications for surgery, but there is no reference standard procedure in management of these injuries. When successful, CC ligament reconstruction has demonstrated promising functional and patient reported outcomes. Purpose: This video overview and case presentation demonstrates our technique for CC ligament reconstruction involving the use of a combined suture and allograft construct. Methods: The anatomy and examination, diagnosis, and treatment options for acromioclavicular (AC) joint injury are reviewed. We discuss surgical indications and treatment options, including ligament repair, transfer, and reconstruction. A case of a 54-year-old man with a type V AC joint injury is presented. The patient sought treatment 4 months from his initial injury, and after a thorough discussion regarding risks, benefits, and prognosis, the patient elected to proceed with CC reconstruction for restoration of function. Results: Reconstruction and reduction of the AC joint were obtained intraoperatively. Postoperative clinical outcome showed good motion and improvement in pain. Conclusion: Coracoclavicular reconstruction offers a reliable pain relief and reduction of the AC joint in the setting of high-grade AC joint injuries.