Arthroscopic Superior Capsule Reconstruction Using Hamstring Allograft in V-Shaped Configuration

Massive irreparable rotator cuff tears remain a challenge for the orthopaedic surgeon a great spectrum from conservative to surgical procedures have been described. Superior capsular reconstruction is an option in active young patients with massive irreparable rotator cuff tears without arthritis, which reduce the humeral head superior migration, restoring the glenohumeral fulcrum while maintaining stable force couples. However, it is a demanding high-cost procedure with substantial retear rate. A recent report has been published, showing an open procedure using semitendinosus autograft. In this technique, we describe an all-arthroscopic superior capsular reconstruction using hamstring allograft in V-shaped configuration. We believe our technique can be technically reproducible at a lower cost with excellent clinical outcomes.