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Right shoulder in lateral decubitus position, arm 45° abducted, lateral subacromial viewing portal, anterolateral portal. The acromial graft is passed through the anterolateral passport using a “push/pull” technique. The graft is passed by pushing it through the passport using a grasper (A) while simultaneously tightening the anterior medial and anterior lateral suture limbs sequentially (B). (A, acromion; AG, acromial graft; SCR, superior capsular reconstruction graft.)
