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Superior Capsule Reconstruction (SCR)
Some rotator cuff tears (see the link on rotator cuff tears for basic information) cannot be repaired. The most common reasons for this include the size of the tear and poor tendon/bone quality. Numerous surgical options exist for patients who have persistent symptoms. The most suitable option is based on individual factors such as age, activity level and expectations.
A useful option for the management of irreparable rotator cuff tears is the superior capsule reconstruction. It is a keyhole procedure that avoids a big incision and the risks of a major shoulder replacement procedure. The procedure involves inserting a graft (permanent) with the aim of reducing pain and improving movement by reproducing the function of the torn tendons.
One of the main functions of the normal tendons are to keep the ball and socket shoulder joint in alignment. When the tendons are torn the ball has a tendency to ride upwards and this makes normal movements painful and often impossible. SCR aims to improve pain, movement and function. The video below demonstrates the procedure.