Return to Sports and Physical Work After Arthroscopic Superior Capsule Reconstruction Among Patients With Irreparable Rotator Cuff Tears

Abstract

Arthroscopic SCR restored shoulder function and resulted in high rates of return to recreational sports and physical work.

Arthroscopic Superior Capsular Reconstruction With Acellular Porcine Dermal Xenograft for the Treatment of Massive Irreparable Rotator Cuff Tears

“…No complications such as neural injury, infection, or suture anchor problems were reported. In a more recent study, Mihata et al 47 reported the outcomes of 100 patients treated with SCR using a fascia lata autograft. The patients showed improvement in the ASES score from 36 to 92, active elevation improved by 56 , and external rotation improved by 15 .…”

Superior Capsular Reconstruction with Achilles Tendon Allograft

“…7,13 Several small case studies have demonstrated significant improvement in active range of motion, increase in acromiohumeral distance, and improvement American Shoulder and Elbow Surgeons score. [10][11][12][13]18 Table 2. Pearls and Pitfalls…”

“…18 Although satisfaction rates have been reported as high as 90% at 1-year postoperatively, graft failure rates range from 4.5% to 18.6% in case series using these graft options. 4,[10][11][12][13] Graft thickness plays a key role in maintenance of glenohumeral stability following SCR. In biomechanical studies, Mihata et al [18][19][20] demonstrated that the fascia lata autograft, typically 6-to 8-mm thick, undergoes less elongation and provides better stability and thinning compared with dermal allografts, typically-3 to 4-mm thick.…”

“…5 Outcomes following SCR using both graft types have been satisfactory, yet graft failure and reoperative rates remain high. 4,[10][11][12][13] The Achilles tendon allograft may be an attractive choice due to the robustness it affords and previous success in treatment of other ligamentous and tendinous reconstructions throughout the body. [14][15][16][17] In this article, we present our technique of SCR using an Achilles tendon allograft.…”

Editorial Commentary: Shoulder Superior Capsular Reconstruction: When a Systematic Review of a Procedure Can Be Misleading

“…"S uperior Capsular Reconstruction for Massive Rotator Cuff Tear Leads to Significant Improvement in Range of Motion and Clinical Outcomes: A Systematic Review" by Sochacki, McCulloch, Lintner, and Harris 1 represents an extremely well-done study. The authors are to be congratulated on an exhaustive and complete review of a procedure that has taken the world by storm since it was first described by Mihata et al 2 Unfortunately, comparing Mihata et al's procedure using autologous fascia lata with one using acellular dermis is the proverbial "apples and oranges" comparison. While both are considered fruit, they are not the same thing at all.…”