The document discusses superior capsular reconstruction techniques, highlighting cases involving fascia lata autografts and associated challenges such as donor site issues and patient acceptance. It outlines indications for the procedure, particularly for younger and active patients with irreparable superior cuff tears while maintaining intact posterior and anterior cuffs. The document appears to serve as a communication from the arm clinic regarding methods and experiences in shoulder reconstruction.

1. @thearmclinic
Superior Capsular
Reconstruction
Lennard Funk
Martyn Snow

2. @thearmclinic
2012
• Teruhisa Mihata - SECEC Travelling Fellow

3. @thearmclinic
2013
• Visit to Osaka, Japan

4. @thearmclinic
2013 - 2014
• 2 cases with Fascia Lata autograft
• Donor site issues
• overnight stay
• patient acceptance
• Poor quality tissue

5. @thearmclinic
2015
• Martyn Snow, Birmingham

6. @thearmclinic
Indications
• Irreparable Superior Cuff tear
• Intact / reparable posterior &
anterior cuff
• Younger active patient

7. @thearmclinic
Indications
REPAIR
YOUNG
OLD
LAT
DORSI
DEBRIDE
DELTOID
REHAB
REVERSE
SCRC
PAIN WEAK
HORN-
BLOWERAGE

8. @thearmclinic
Technique
courtesy Martyn Snow

9. @thearmclinic
THANK YOU
MERCI
lenfunk@shoulderdoc.co.uk