Arthroscopic Superior Capsular Reconstruction and Over-the-Top Rotator Cuff Repair Incorporation for Treatment of Massive Rotator Cuff Tears

Arthroscopy Techniques
Brandon C CabarcasAnthony Romeo

Abstract

Massive rotator cuff tears pose significant clinical and surgical challenges for orthopaedic surgeons and increased morbidity to the patient. Left untreated, this pathology can lead to inability to perform daily activities, weakness, pain, and eventual cuff tear arthropathy. Several treatment options exist for irreparable cuff tears, such as reverse shoulder arthroplasty and tendon transfers. However, there exists significant concern for high complication rates and unpredictable clinical outcomes following such treatments. Superior capsular reconstruction (SCR) represents a viable alternative in treating irreparable cuff tears, providing biomechanical stability and improving pain related to this pathology by reducing superior humeral instability and subacromial impingement. Over-the-top repair of the native rotator cuff tendons with incorporation of the SCR allograft may provide surgeons the opportunity to perform a robust repair in situations where arthroplasty or other more invasive procedures were once the only options. The authors present a surgical technique with associated pearls and pitfalls for their preferred procedure of SCR with incorporation of the native rotator cuff in transosseous equivalent double-row repair for...Continue Reading

Citations

Aug 14, 2020·Skeletal Radiology·Zeid Al-AniSubhasis Basu
Mar 31, 2019·Current Reviews in Musculoskeletal Medicine·Seper EkhtiariMoin Khan
Nov 24, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ian GaoGeoffrey D Abrams
Mar 20, 2021·Arthroscopy Techniques·Anthony F De GiacomoThay Q Lee
Feb 6, 2021·Journal of Shoulder and Elbow Surgery·Mark W LaBelleRobert J Gillespie
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Alessia C LavinMichael G Baraga

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BETA
total shoulder arthroplasty
total shoulder

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