Current Evidence on Superior Capsular Reconstruction

Abstract

Massive irreparable rotator cuff tears remain one of the most challenging pathologies in shoulder surgery to treat, especially in the younger active patients. Although several treatment options exist, none provides superior long-term results. Over the last few years, a promising technique has emerged-the Superior Capsular Reconstruction (SCR). This technique reinforces the superior capsule to keep the humeral head centered within the glenoid, optimizing the force couples necessary for dynamic shoulder function and preventing the proximal migration of the humeral head and, consequently, subacromial impingement. Since SCR is technically challenging and difficult to reproduce consistently, there is a continuous improvement of arthroscopic techniques. So far, SCR has been shown to be effective for pain relief and restoration of active shoulder motion, but mid- and long-term outcomes have not yet been reported.