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Surgical review demonstrates favorable outcomes for superior capsular reconstruction in massive rotator cuff tears, highlighting a viable joint-preserving alternative to arthroplasty.
Superior capsular reconstruction (SCR) is increasingly being used as a procedure for addressing irreparable rotator cuff tears. The procedure was initially described for failed rotator cuff repairs where the retears are severely retracted and when grade 3-4 fatty infiltration and atrophy exist. The SCR procedure can also be considered for irreparable rotator cuff tears in patients that are either too young or too high demand to be appropriate candidates for arthroplasty. Early short and medium term follow up studies support SCR with favorable outcomes compared with other salvage procedures.
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Loy et al. (2019) studied this question.
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