A, Arthroscopic image of massive, irreparable rotator cuff tear involving supraspinatus and infraspinatus. Greater tuberosity and superior glenoid have been prepared for superior capsular reconstruction. B, A total of three Arthrex 2.6-mm FiberTak suture anchors have been percutaneously placed in superior glenoid. C, Arthrex 4.75-mm SwiveLock anchor is placed just off articular margin on greater tuberosity for transosseous equivalent humeral sided fixation for superior capsular reconstruction. D-F Graft measurements are obtained with specifically designed SCR measurement. E, Acellular dermal matrix graft. F, Glenoid anchors placed through graft. G-I, All six limbs of suture from glenoid anchors are passed through graft 5 to 10 mm from edge in horizontal mattress configuration. Arthroscopic sliding knots are tied to aid in graft passage. H, SutureBridge construct. I, Completed repair. SEE TECHNIQUE 52.24