Mine started off as a grade 2 but I have made it into a 4. My consultant here says that the ‘dog bone’ technique is his preferred method and has had little issues with it over the last 2 years other than the odd infection. He has used it on professional rugby players and tells me that after 4 months I can return to full contact sports. Initially however I would be waiting for the ligament to heal onto the clavicle hence the need for it to be immobilised. At present my scapula rotates forward and under the clavicle causing loud popping and graunching. Its also affected my lower back and I seem to have a stiff neck daily. Another consultant had advised that a distal clavicle excision might do the trick and would be less invasive than full modified weaver dunn. The latest consultant strongly advised against this procedure as it would not cure the instability. Thanks for your replies, I know there is no easy fix but it would be helpful if the consultants actually agreed.