AANA19 Shoulder Access Pass-SCR Made Easy(er)-Dr. William T. Pennington, M.D.

SCR Made Easy(er)-Dr. William T. Pennington, M.D.

Video Transcription

Video Summary

The speaker presents a technique for arthroscopic superior capsular reconstruction (SCR) using push-in glenoid anchor fixation, offering a knotless, efficient alternative to suture shuttling. Developed from early challenges with graft fixation, this method uses acellular dermal allografts secured via three push-in anchors on the glenoid side and double-row fixation laterally. Indicated for active patients with massive irreparable rotator cuff tears and minimal arthritis, SCR restores shoulder stability and function, with promising short-term outcomes. Proper patient selection, graft tensioning, and rotator cuff repair remain critical. The technique simplifies graft insertion and reduces operative time to under an hour.

Keywords

arthroscopic superior capsular reconstruction

push-in glenoid anchor fixation

knotless graft fixation

massive irreparable rotator cuff tears

acellular dermal allografts