Superior Capsular Reconstruction for Irreparable Rotator Cuff Tear

Abstract

Superior capsular reconstruction (SCR) was developed as a minimally invasive, innovate technique to restore normal shoulder biomechanics for patients who present with massive, irreparable rotator cuff tear (MIRCTs) that preclude shoulder arthroplasty. Current studies have shown that SCR for MIRCTs result in excellent short-term clinical outcomes, adequate pain relief, and functional improvement with low graft failure and complication rates. This article aims to critically evaluate the biomechanics, indications, procedural considerations, clinical outcomes, rehabilitation program, and complications associated with the SCR procedure.

Keywords: Dermal allograft; Fascia lata autograft; Irreparable rotator cuff tear; Massive rotator cuff tear; Superior capsular reconstruction; Surgical technique and rehabilitation.