shoulder superior capsular reconstruction

A multitude of surgical approaches for an irreparable rotator cuff tear have been described in the literature, including partial repair alone, partial repair with superior capsular reconstruction (SCR), arthroscopic debridement, graft interposition, balloon spacer arthroplasty, tendon transfers, and reverse total shoulder arthroplasty (rTSA)2. However, in the case of an irreparable rotator cuff tear, management becomes more challenging as these injuries tend to be larger in size, are inelastic secondary to tendon retraction, and exhibit fatty infiltration and rotator cuff atrophy1. In most cases, surgical repair can reduce pain and restore baseline functional status. Rotator cuff injury is a commonly encountered problem within the United States. Procedure: Superior Capusular Reconstruction Procedure: Partial Rotator Cuff Repair In addition, the investigators hypothesize that the failure rate will be significantly higher in patients undergoing partial rotator cuff repair with SCR.

The investigators hypothesize that there is no statistically significant difference in pain and functional outcomes between partial rotator cuff repair alone versus partial rotator cuff repair with SCR. The information gained from this investigation will be useful to discern if SCR provides any benefit to patients with irreparable rotator cuff tears. partial repair with SCR via magnetic resonance imaging (MRI) at 12 months post-operatively.

The secondary objective of this study is determine the failure rate of partial repair alone vs. The two surgical modalities of interest are partial rotator cuff repair alone and partial rotator cuff repair with superior capsule reconstruction (SCR). The primary objective of this prospective randomized controlled trial is to compare pain and functional outcomes between two surgical modalities for irreparable rotator cuff tears as measured by the pain visual analog scale (VAS), simple shoulder test (SST), American Shoulder and Elbow Surgery shoulder score (ASES), and Patient Reported Outcomes Measurement Information System (PROMIS) 29 score at 6 weeks, 3, 6, 12, and 24 months post-operatively.

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Shoulder superior capsular reconstruction