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Arthroscopic superior capsular reconstruction for massive, irreparable rotator cuff tears: A systematic review of modern literature

Arthroscopy Mar 18, 2019

Catapano M, et al. - Investigators researched over 350 shoulders of various candidates with a mean age of 60.6 years to assess the effectiveness and rate of complication of superior capsular reconstruction (SCR) to quantify massive, irreparable rotator cuff tears (MIRCTs). They observed improvement in pain and function with mean elevation ranging from 29.4 to 68.5 and from 2.5 to 5.9 points across the American Shoulder and Elbow Surgeons score and visual analog scale score, respectively. They also found mean improvement in range of motion from 21.7° to 64.0° in elevation and from 9.0° to 15.0° in external rotation. They also reported deep infection in 0%-2% of cases, symptomatic suture anchor loosening in 0%-4% of candidates, and severe shoulder contracture in 0%-2% of participants. Overall, they suggested arthroscopic SCR an effective surgical choice with short-term improvements in pain, the range of motion, and function.
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