Arthroscopic Supraspinatus Tendon Reconstruction Using Fascia Lata Autograft Augmentation for Type B and C Musculotendinous Junction Tears.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 41425373.
- Also identified by DOI 10.1016/j.eats.2025.103895 and PMC identifier 12712507.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Type B and C musculotendinous junction tears present unique surgical challenges because of poor tissue integrity. We describe an arthroscopic technique-the supraspinatus tendon reinforcement reconstruction technique-that combines autologous fascia lata grafting with remnant tendon augmentation. This biologically optimized approach achieves anatomic restoration through 3 key principles: intramuscular fascia lata passage to enhance medial integration, lateral bridging reinforcement fixation to improve load distribution, and scapular spine anchoring for structural stability. By preserving native kinematics while augmenting repair integrity, this reproducible method may reduce retear rates in type B and C musculotendinous junction tears, offering a viable alternative to traditional reconstructions.