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Superior Capsular Reconstruction for Irreparable Rotator Cuff Tears

Roberson, Troy A. MD; Tokish, John M. MD

Techniques in Shoulder & Elbow Surgery: March 2017 - Volume 18 - Issue 1 - p 8–14
doi: 10.1097/BTE.0000000000000111
Rotator Cuff Disease: State of the Art in 2016—Techniques

One of the greatest challenges faced by shoulder surgeons remains the chronic massive irreparable rotator cuff tear. Several surgical options have been introduced but each has unique shortcomings particularly in physiologically young patients. As a result the technique of superior capsular reconstruction has been developed as an alternative solution in these patients. This technique is supported by biomechanical rationale as well as early promising clinical results with significant improvements in pain, range of motion, and patient-reported outcomes. For these reasons there is great interest in this procedure and the continued evolution of technical improvements. Techniques have included a variety of grafts and modes of fixation but little is known at present regarding the most ideal technique. Superior capsular reconstruction does offer great promise to fill a previously unmet need and as such further investigation is warranted to define the nuances of technique and supporting clinical outcomes.

Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC

Tokish is a consultant for Arthrex, Inc. The other author declares no conflict of interest.

Reprints: John M. Tokish, MD, 200 Patewood Dr., Suite C-100, Greenville, SC 29615 (e-mail:

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.