An OrthoRadiological review of superior capsularreconstruction in the shoulder

Al-Ani, Zeid; Monga, Puneet; Walton, Michael; Funk, Lennard; Basu, Subhasis

doi:10.1007/s00256-020-03577-8

Cited by 4 publications

(7 citation statements)

References 25 publications

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“…Regarding the graft tear pattern in cases of SCR using allograft, only complete types of tears, such as those on the glenoid side, on the humeral side, and at the midsubstance, were reported. 1,6,22,24 In our study, we observed complete tears on either side of the graft (humeral side and glenoid side). However, there were some incomplete graft tears in which the continuity of the graft between the humerus and glenoid was maintained (Fig.…”

Section: Discussionsupporting

confidence: 56%

“…This study retrospectively analyzed 60 consecutive patients who underwent arthroscopic SCR with ADM performed by 2 surgeons at 2 institutions from October 2017 to February 2020. The inclusion criteria were (1) patients with irreparable rotator cuff tears who did not respond to conservative treatment for >3 months and (2) Hamada classification of grade 1, 2, or 3. 13 An irreparable cuff tear was confirmed after d ebridement of pathologic tissue at the time of arthroscopic SCR (Fig.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

“…In the existing studies on SCR, the graft tear is simply reported as either a humeral-side or glenoid-side tear; as such, the clinical results of this graft tear remain controversial. 1,6,11,22,24,45,46 Therefore, we aimed to investigate the tear pattern in SCR using ADM and its relationship with clinical outcomes.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Tear pattern after superior capsular reconstruction using an acellular dermal matrix allograft

Shin

Lee²,

Hwang

et al. 2022

Journal of Shoulder and Elbow Surgery

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Section: Discussionsupporting

confidence: 56%

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

See 1 more Smart Citation

Tear pattern after superior capsular reconstruction using an acellular dermal matrix allograft

Shin

Lee²,

Hwang

et al. 2022

Journal of Shoulder and Elbow Surgery

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“…36 Grafts may fail at three major sites: (1) at the proximal or distal attachments, (2) midsubstance, or (3) at the side-to-side anastomosis with the native tendon. 41 The presence of a fluid cleft or defect in any of these locations is in keeping with a graft tear. ►Table 1 summarizes the expected postsurgical findings for the different surgical techniques, with further discussion on latissimus dorsi tendon transfer and superior capsular reconstruction here (which are the preferred treatments for massive rotator cuff tears at our institution).…”

Section: Massive Rotator Cuff Tears and Repairmentioning

confidence: 99%

Rotator Cuff Injury and Repair

Fitzpatrick

Atinga

White

et al. 2022

Semin Musculoskelet Radiol

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Rotator cuff pathology is a commonly encountered clinical and radiologic entity that can manifest as tendinopathy or tearing. Magnetic resonance imaging (MRI) and ultrasonography offer similar sensitivity and specificity for the evaluation of the native rotator cuff, and the chosen modality may vary, depending on local practice and accessibility. MR arthrography is frequently used in the postoperative setting as a problem-solving tool. Key findings to include in the preoperative MRI report include the size and location of the tear, thickness of the tendon involved (partial versus full thickness), and overall tendon quality. The report should also address features associated with poor surgical outcomes, such as fatty atrophy, a decreased acromiohumeral interval, and evidence of rotator cuff arthropathy. Musculoskeletal radiologists should be familiar with the various surgical techniques and expected postoperative imaging appearance of rotator cuff repairs. Imaging also plays a role in identifying recurrent tearing, graft failure, hardware loosening, infection, and other complications.

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“…SCR can increase the stability of the superior glenohumeral joint, reduce the subacromial pressure and moderate AHD. It was difficult to predict which patients were perfect indicated for this surgical procedure for lacking of long‐term clinical outcome data, and the indications for SCR were often depending on the severity of lesions and surgical methods 36 . Here, four main indications were summarized for SCR.…”

Section: Indication Of Superior Capsular Reconstructionmentioning

confidence: 99%

Advancement in Arthroscopic Superior Capsular Reconstruction for Irreparable Massive Rotator Cuff Tear

Zhou

Tang

2021

Orthopaedic Surgery

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Irreparable massive rotator cuff tear (IMRCT) was one of the causes of shoulder dysfunction, despite technical improvement, the failure rate of IMRCT was still demonstrated to be high. Traditional treatments like non-surgical treatments, partial rotator cuff repair, and tendon transfers could only achieve a slight improvement. A potential cause for high failure rate was the fact that traditional treatments cannot restore the superior stability of glenohumeral joint, and thus restricted the movement of shoulder joint severely. Superior capsular reconstruction (SCR) using a variety of grafts (autograft, allograft, xenograft, or synthetic grafts) provided a promising option for IMRCT. In surgery, graft was fixed medially to superior glenoid and laterally to the footprint of humeral greater tuberosity. SCR could increase the stability of the superior glenohumeral joint, decrease the subacromial pressure and acromiohumeral distance. This review summarized the relevant literature regarding the alternative grafts, surgery indications, operative techniques and clinical outcomes of SCR. we compared the different grafts, key surgical steps, the advantages and disadvantages of different surgical methods to provide clinicians with new surgical insights into the treatments of IMRCT. In conclusion, IMRCT without severe glenohumeral arthritis was the best suitable indication for SCR. The clinical outcomes were positive in the short-term and middle-term following-up. More studies were necessary to determine long-term results of this surgical procedure.

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An OrthoRadiological review of superior capsularreconstruction in the shoulder

Cited by 4 publications

References 25 publications

Tear pattern after superior capsular reconstruction using an acellular dermal matrix allograft

Tear pattern after superior capsular reconstruction using an acellular dermal matrix allograft

Rotator Cuff Injury and Repair

Advancement in Arthroscopic Superior Capsular Reconstruction for Irreparable Massive Rotator Cuff Tear

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