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Qualitative analysis methods were done with patient and surgeon focus groups. Patients with AC-joint pathology were invited to engage and were stratified into two cohorts AC uncertainty and AC osteoarthritis (OA). Sixteen patients took part in five patient focus team discussions including 10 patients with AC instability and six customers with AC OA. Four surgeons took part in two focus groups. While some themes were typical to both AC Instability and AC OA, a number of motifs had