AANA19 Shoulder Access Pass-It's Not Loco! Superior Capsule Reconstruction is the Way to Go-Dr. Fernando Barclay, M.D.

It's Not Loco! Superior Capsule Reconstruction is the Way to Go-Dr. Fernando Barclay, M.D.

Video Transcription

Video Summary

Since 2014, the speaker has used arthroscopic superior capsular reconstruction (SCR) to treat young, active patients with irreparable rotator cuff tears. The technique restores shoulder biomechanics by stabilizing the humeral head using fascia lata grafts, avoiding donor site morbidity. The procedure involves knotless fixation on the glenoid and humerus with fiber tapes and biocomposite screws, creating capsular continuity and preventing superior translation. A newer mesh option offers easier handling and less strain. Emphasizing joint preservation and biological repair, the speaker advocates SCR as a reproducible, effective alternative to reverse shoulder arthroplasty for suitable patients.

Keywords

arthroscopic superior capsular reconstruction

irreparable rotator cuff tears

fascia lata graft

knotless fixation

reverse shoulder arthroplasty alternative