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