In SCR, the Arthroflex graft is anchored to which two structures?

• A. Inferior Glenoid and Infraspinatus
• B. Glenoid rim and Teres Minor
• C. Superior Glenoid and Supraspinatus
• D. Coracoid process and Subscapularis

Answer: (C)

In superior capsular reconstruction with the Arthroflex graft, the goal is to recreate the superior capsule to prevent the humeral head from migrating upward. The graft is fixed medially to the superior glenoid rim and laterally to the supraspinatus tendon at its footprint on the humeral head. This pairing provides the key restraint on superior translation and integrates with the remaining cuff tissue to restore joint stability.

Anchoring to the superior glenoid gives a solid medial fixation point, while attaching to the supraspinatus on the humeral side recreates the necessary superior support without relying on other structures that don’t form the same stabilizing capsule.