Arthroscopic management of massive rotator cuff tears: Superior capsule reconstruction

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.