Fig 8.

Superior capsule reconstruction (SCR) in a right shoulder, for a type C tear at the musculotendinous junction. (A) Illustration with a view from the anterior aspect, showing a tear of supraspinatus (SSP) at the musculotendinous junction. The muscle has significantly retracted away from the tendon stump. The muscle quality is poor, and cannot be pulled laterally to the footprint. (B) Illustration with the same view. The tendon is debrided and SSP is not manipulated because of deficient length. A large human acellular dermal patch is used to reconstruct the superior capsule. Glenoid anchors fix the patch medially, and the lateral edge is compressed down to the anatomic footprint with a SpeedBridge technique using medial and lateral row anchors. (C) Illustration with a view from the superolateral aspect showing the linked double-row construct laterally and glenoid anchors medially.