Arthroscopic Superior Capsular Reconstruction (ASCR): All Soft Anchors Technique

Paolo Avanzi; Gaia Cardoni; Claudio Zorzi

doi:10.1016/j.eats.2022.11.013

Arthroscopic Superior Capsular Reconstruction (ASCR): All Soft Anchors Technique

Arthrosc Tech. 2023 Feb 13;12(3):e343-e348. doi: 10.1016/j.eats.2022.11.013. eCollection 2023 Mar.

Authors

Paolo Avanzi¹, Gaia Cardoni¹, Claudio Zorzi¹

Affiliation

¹ Department of Orthopaedics, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy.

Abstract

Rotator cuff tears are among the most common orthopaedic injuries. If not treated, they can result in a massive irreparable tear because of tendon retraction and muscle atrophy. Mihata et al. in 2012 described the technique of superior capsular reconstruction (SCR) using fascia lata autograft. This has been considered an acceptable and effective method for treating irreparable massive rotator cuff tears. We describe an arthroscopically assisted superior capsular reconstruction (ASCR) technique using all soft anchors to preserve the bone stock and reduce possible hardware complications. Moreover, knotless anchors for the lateral fixation make the technique easier to reproduce.