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**Chapter 7**

**Provisional chapter**

**Superior Capsule Reconstruction: Review of a Novel**

**Operative Technique for Management of Irreparable** 

**Superior Capsule Reconstruction: Review of a Novel** 

DOI: 10.5772/intechopen.70049

**Operative Technique for Management of Irreparable**

Rotator cuff tear is a common yet functionally debilitating shoulder condition. Risk factors for failure of repair or inability to repair include advancing age of the patient, chronicity of the tear, and larger tear size. Current operative management options for tears that are considered irreparable include debridement, partial repair, biceps tenotomy, interpositional grafting, tendon transfers, and reverse shoulder arthroplasty. Recently, superior capsular reconstruction has been introduced as an alternative surgical option for these tears and has demonstrated favorable short-term outcomes. However, the literature lacks studies with large numbers of patients, consistency of results, and long-term outcomes. This article reviews the anatomy and function of the rotator cuff and shoulder capsule; patho-etiology of rotator cuff tears, particularly the irreparable ones; and rationale, techniques, outcomes, and future direction of superior capsular reconstruction in

**Keywords:** shoulder, rotator cuff tear, massive rotator cuff tear, irreparable rotator cuff tear, rotator cuff repair, rotator cuff reconstruction, superior capsule reconstruction,

> © 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

and reproduction in any medium, provided the original work is properly cited.

Rotator cuff tears affect millions worldwide; given their age-dependent increase in prevalence, they pose a significant healthcare burden on today's aging population [1]. Chronic large to massive rotator cuff tears are often considered "irreparable" secondary to poor tissue quality, tendon retraction, and muscle atrophy and fatty infiltration [2]. Surgical options

**Rotator Cuff Tears**

**Rotator Cuff Tears**

Kevin Jiang and Jeffrey E. Rosen

Kevin Jiang and Jeffrey E. Rosen

http://dx.doi.org/10.5772/intechopen.70049

the context of this clinical indication.

superior capsular reconstruction

**Abstract**

**1. Introduction**

Alexander Golant, Daiji Kano, Tony Quach,

Alexander Golant, Daiji Kano, Tony Quach,

Additional information is available at the end of the chapter

Additional information is available at the end of the chapter

**Provisional chapter**
