Quantitative and Computed Tomography Anatomic Analysis of Glenoid Fixation for Superior Capsule Reconstruction: A Cadaveric Study

Schon, Jason M.; Katthagen, J. Christoph; Dupre, Cameron N.; Mitchell, Justin J.; Turnbull, Travis Lee; Adams, Christopher R.; Denard, Patrick J.; Millett, Peter J.

doi:10.1016/j.arthro.2016.10.016

Cited by 18 publications

(11 citation statements)

References 21 publications

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Section: Discussionmentioning

confidence: 99%

“…TFL autograft, acellular dermal allograft, and long head of the biceps tendon autograft appear to be biomechanically viable options, but further clinical study is clearly needed. 10,15,25,[29][30][31][32]41,42 The ultimate question remains whether these clinical improvements in PRO and VAS scores are comparable with alternative treatments, such as RTSA or LDT, and whether these early positive outcomes will remain consistent in medium-and long-term studies. A systematic review on RTSA for irreparable MRCT showed an ASES score improvement of 30.8 to 42.1 and a Constant score gain of 28.4 to 35.9.…”

Section: Discussionmentioning

confidence: 99%

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Superior Capsule Reconstruction for Irreparable Massive Rotator Cuff Tears: Does It Make Sense? A Systematic Review of Early Clinical Evidence

et al. 2020

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Background: Treatment of irreparable massive rotator cuff tears (MRCTs) in patients without advanced glenohumeral osteoarthritis remains a challenge. Arthroscopic superior capsule reconstruction (SCR) represents a newer method for treatment with increasing popularity and acceptance. Purpose: To analyze the clinical evidence surrounding SCR and determine the current clinical outcomes postoperatively. Study Design: Systematic review. Methods: A systematic review of the literature was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Electronic databases of PubMed, MEDLINE, Cochrane, and Google Scholar were used for the literature search. The study quality was evaluated according to the Modified Coleman Methodology Score. Studies in English evaluating SCR outcomes were included. Results: Seven studies were reviewed, including 352 patients (358 shoulders) treated with arthroscopic SCR with the mean duration of follow-up ranging from 15 to 48 months (range, 12-88 months). Fourteen patients were lost to follow-up, leaving 338 patients (344 shoulders) with clinical outcome data. Graft types included dermal allografts (n = 3 studies), fascia lata autografts (n = 3), or both (n = 1). Most commonly, a double-row technique was utilized for humeral graft fixation. The most common complication included graft tears in 13% of patients, resulting in 15 SCR revisions and 7 reverse shoulder arthroplasties. Postoperatively, improvements in visual analog scale (2.5 to 5.9), American Shoulder and Elbow Surgeons (20 to 56), Japanese Orthopaedic Association (38.0), Subjective Shoulder Value (37.0 to 41.3), and Constant (11.6 to 47.4) scores were observed. Three studies reported respective satisfaction rates of 72.9%, 85.7% and 90%. Increases in external rotation, internal rotation, and abduction with improved strength in external rotation were observed postoperatively. Improvement of pseudoparalysis was also observed in 3 studies. One study reported return to sports in 100% of patients (2 competitively, 24 recreationally) with no adverse outcomes. Conclusion: SCR showed good to excellent short-term clinical outcomes with adequate pain relief and functional improvement. The current evidence suggests that the procedure is an alternative for symptomatic patients with irreparable MRCT; however, the included studies were fair to poor in quality, and there were some notable complications. Long-term follow-up will determine the longevity and ultimate role of this new method in the treatment of irreparable MRCT.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Superior Capsule Reconstruction for Irreparable Massive Rotator Cuff Tears: Does It Make Sense? A Systematic Review of Early Clinical Evidence

et al. 2020

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“…Technique 1 ( Figure 1) was similar to the medial fixation described by the group of Millett et al, 15,30,36 using three 3.5-mm suture anchors (BioComposite SwiveLock; Arthrex, Inc) to secure the graft to the superior glenoid. 13,15,30 A central anchor was loaded with labral tape suture and placed at the 12-o'clock position ( Figure 2), with both limbs passed centrally through the graft.…”

Section: Surgical Techniquementioning

confidence: 99%

Biomechanical Comparison of 3 Glenoid-Side Fixation Techniques for Superior Capsular Reconstruction

et al. 2017

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“…The authors first place a third, central glenoid anchor, a step shown in a radiographic study to be at low risk of damaging the suprascapular nerve or disrupting the glenoid fossa [65]. This anchor sits between the standard anterior and posterior ones, with one end of its suture limbs passing through a modified Neviaser portal and the others through a lateral portal.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Ten of the articles revealed by the search were technique articles, nine of which detailed different SCR surgical techniques (see Table 1) [3, 11, 60-64, 66, 67], and one which elaborated on rehabilitation following SCR [59]. The remainder consisted of review articles [9,14,31], a case report [58], a cadaveric, radiologic study [65], and a series of biomechanical studies and two editorials on them [68, 69, 70•, 71•, 72•]. No clinical studies were identified during this 3-year period.…”

Section: Superior Capsule Reconstructionmentioning

confidence: 99%

How to Use a Graft in Irreparable Rotator Cuff Tears: A Literature Review Update of Interposition and Superior Capsule Reconstruction Techniques

Wall

Toth

Garrigues

2018

Curr Rev Musculoskelet Med

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Purpose of Review To introduce the challenges in addressing irreparable rotator cuff tears and examine the surgical options, specifically interposition grafting and superior capsule reconstruction. Recent Findings Interposition grafting of rotator cuff tears shows promising results in reducing pain and improving function postoperatively and one study demonstrated that it performs significantly better than partial repair alone. Superior capsule reconstruction has become popular rapidly, but given the novelty of the procedure, there is currently a paucity of outcomes data to review. Summary Irreparable rotator cuff tears are a challenging condition with a variety of surgical options available. Two such options-interposition and superior capsule reconstruction-both employ grafts in an attempt to restore joint stability and function. In the past 3 years, literature discussing interposition grafting has explored the different types of grafts, and mostly employed pre-post analysis. The recent superior capsule reconstruction articles strictly used human dermal allograft and offer a variety of surgical techniques without quantitative data.

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Quantitative and Computed Tomography Anatomic Analysis of Glenoid Fixation for Superior Capsule Reconstruction: A Cadaveric Study

Cited by 18 publications

References 21 publications

Superior Capsule Reconstruction for Irreparable Massive Rotator Cuff Tears: Does It Make Sense? A Systematic Review of Early Clinical Evidence

Superior Capsule Reconstruction for Irreparable Massive Rotator Cuff Tears: Does It Make Sense? A Systematic Review of Early Clinical Evidence

Biomechanical Comparison of 3 Glenoid-Side Fixation Techniques for Superior Capsular Reconstruction

How to Use a Graft in Irreparable Rotator Cuff Tears: A Literature Review Update of Interposition and Superior Capsule Reconstruction Techniques

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