Irreparable rotator cuff tears can make conservative treatment options difficult or ineffective. A doctor may recommend superior capsular reconstruction surgery in cases of severe tears.

The rotator cuff keeps the arm attached to the ball and socket joint of the shoulder. It consists of four muscles that converge into tendons around the head of the humerus bone. It helps to lift and rotate the arm.

Injury to the rotator cuff is a common cause of shoulder pain and disability. Superior capsular reconstruction surgery may help in cases where conservative treatment options are ineffective.

This article reviews superior capsular reconstruction, when someone might need it, what the procedure involves, and more.

Superior capsular reconstruction is a surgical procedure that treats irreparable rotator cuff tears.

The procedure involves using tissue from the person’s body to reconnect the torn rotator cuff. The procedure can vary based on several factors, including the type of graft used, whether it is open or arthroscopic surgery, and where a doctor inserts anchors into the shoulder.

Doctors may recommend superior capsular reconstruction surgery in people who do not have

• severe bone deformity
• infection
• severe movement of the humerus bone head outward or upward from the socket
• nerve or deltoid dysfunction

The procedure may not be suitable for some older individuals.

The doctor treating a person with a rotator cuff tear will be able to discuss the suitability of the surgery and any other treatment options they recommend.

Experts recommend  superior capsular reconstruction surgery for people with an irreparable rotator cuff tear with a fully functioning deltoid and intact subscapularis.

The deltoids are muscles in the shoulder that help to move the arms in different directions at the shoulder. The subscapularis is one of four muscles in the rotator cuff apparatus that is primarily responsible for internal rotation.

Superior capsular reconstruction surgery may be open surgery or arthroscopic surgery.

Open surgery involves making a larger incision and typically involves a longer recovery period.

Arthroscopic surgery is a type of keyhole surgery. It is a minimally invasive technique that involves making several small incisions. This type of surgery may have a shorter recovery time than open surgery.

During the procedure, the surgeon will place anchors into the bones of the shoulder. They use cadaver or autologous tendon tissue to bridge the injured rotator cuff to its original bony attachments.

The surgeon will then use sutures or stitches to pull the graft into the proper position. The sutures and graft attach to anchors in the shoulder bones and the end of the humerus to fix the torn rotator cuff.

A person should discuss preparation with the surgical team or facility where the team will perform the procedure. They can answer specific questions about when the procedure will occur, what medications a person may need to stop beforehand, and when to stop eating or drinking.

Eating or drinking immediately before surgery is typically not advisable. Food in the stomach increases the risk of vomiting before, during, or after anesthesia. Most facilities recommend stopping eating the night before for an early morning procedure or at least 6 hours before an evening surgery.

The Centers for Disease Control and Prevention (CDC) recommend that people take steps to help prevent surgical site infections. This includes:

• quitting smoking if the person currently smokes
• discussing any preexisting conditions with the surgical team
• avoiding shaving near the shoulder
• using soap the surgical team recommends to clean the area

Summary

Healthcare professionals carry out superior capsular reconstruction surgery to fix a severely torn rotator cuff in the shoulder.

The procedure may be open surgery or arthroscopic surgery. In both cases, a person will need several weeks to recover and physical therapy to help regain strength and mobility.

About PUSM

Shenyang Pusm Medical Equipment Co., Ltd. was established in 2006. It is a professional enterprise integrating R & D, manufacturing and sales. It specializes in producing medical equipment according to national standards. Our company's main products: medical electric saw drill series; imported brushless motor series; domestic high-quality brushless motor series; medical electric drill pendulum saw integrated multi-functional system; hand, foot and ankle special system; pedicle screw screwing into special power; external fixed needles are screwed into special power; external fixation series; bone cement cannula; bone cement guns and other orthopedic surgical instruments.

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