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Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears.

ABSTRACT: Massive irreparable rotator cuff tears in young patients are a particular challenge for the orthopaedic surgeon. Surgical treatment options include debridement, partial rotator cuff repair, patch-augmented rotator cuff repair, bridging rotator cuff reconstruction with graft interposition, tendon transfer, and reverse total shoulder arthroplasty. Recently, reconstruction of the superior glenohumeral capsule using a fascia lata autograft has been suggested to reduce superior glenohumeral translation and restore superior stability. Promising clinical results have been reported in 1 case series of 23 patients, indicating that superior capsular reconstruction may be a promising tool to manage massive irreparable rotator cuff tears. This article describes our preferred technique for arthroscopic superior capsule reconstruction.

SUBMITTER: Petri M

PROVIDER: S-EPMC4886263 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears.

Petri Maximilian M Greenspoon Joshua A JA Millett Peter J PJ

Arthroscopy techniques 20151130 6

Massive irreparable rotator cuff tears in young patients are a particular challenge for the orthopaedic surgeon. Surgical treatment options include debridement, partial rotator cuff repair, patch-augmented rotator cuff repair, bridging rotator cuff reconstruction with graft interposition, tendon transfer, and reverse total shoulder arthroplasty. Recently, reconstruction of the superior glenohumeral capsule using a fascia lata autograft has been suggested to reduce superior glenohumeral translati ...[more]

PMID: 27284506

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