Long Head Biceps Superior Capsular Reconstruction : Available option for Irreparable Rotator Cuff tear (Case Report )

Abstract

primary less retracted edges of the the anterior and posterior margins are usually reparable, the central portion of the with the greatest retraction be irreparable. are treatment such as conservative treatment, arthroscopic debridement tenotomy, rotator cuff partial repair, patch augmentation, reverse total shoulder arthroplasty, and superior capsular reconstruction. capsular reconstruction is a treatment option for relatively patients with irreparable massive cuff tear because the superior capsule acts as a better restraint to proximal migration of the humeral head, and is considered to be a key static stabilizer. This concept explains why the can relieve severe pain and improve disability from irreparable massive rotator cuff tears. tensor fascia lata, and reported that it can be used very easily during arthroscopic shoulder surgery because of the proximity of this tendon, and that donor-site morbidity can be avoided. Abstract Large and massive rotator cuff tears often pose challenges when trying to repair the injury, and can sometimes be irreparable. Superior capsular reconstruction was recently introduced as an effective procedure for maintaining the static stability of the shoulder joint in order to prevent the progression to cuff tear arthropathy. We described the technique of superior capsular reconstruction using local long head of biceps tendon as an alternative to tensor fascia lata or dermal allograft.