All-Arthroscopic Superior Shoulder Capsule Reconstruction With Partial Rotator Cuff Repair

Massive irreparable rotator cuff tears are difficult to treat. Although several treatment options exist, none provides superior long-term results. There is no consensus on optimal surgical technique. Superior capsular reconstruction is an operative treatment option aimed at restoring native biomechanics of the glenohumeral joint by providing a restraint to superior subluxation. Partial rotator cuff repair for massive tears has also been shown to improve shoulder kinematics and can be performed in conjunction with superior capsule reconstruction. The authors describe a technique for arthroscopic superior capsular reconstruction with a dermal allograft with concomitant partial rotator cuff repair. [Orthopedics. 2017; 40(4):e735-e738.].