Arthroscopic management of massive rotator cuff tears: Superior capsule reconstruction

Ron Gilat, Kevin C. Parvaresh, Derrick M. Knapik, Christopher R. Adams, Brian J. Cole

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Management of symptomatic patients with an irreparable rotator cuff tear who have failed conservative management remains challenging. Arthroscopic superior capsular reconstruction is a relatively new procedure that prevents superior migration of the humeral head while optimizing the force coupling required to allow for elevation of the arm. Early results are promising and significant pain relief and improvement in functional outcomes had been demonstrated. Several surgical techniques for superior capsular reconstruction utilizing autograft, allograft, and xenograft had been described. This chapter discusses in detail the authors’ preferred technique for arthroscopic superior capsular reconstruction using an acellular dermal allograft.

Original languageEnglish
Title of host publicationSurgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine, Third Edition
Number of pages7
ISBN (Electronic)9780323763004
ISBN (Print)9780323763011
StatePublished - Jan 1 2022


  • allograft
  • irreparable rotator cuff tear
  • massive rotator cuff tear
  • SCR
  • superior capsular reconstruction


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