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

Sukree Khumrak

doi:10.31524/bkkmedj.2020.22.004

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.

Highlights

Large retracted rotator cuff tears may not be amenable to complete primary repair
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
Superior capsular reconstruction is a good treatment option for relatively young patients with irreparable massive cuff tear because the superior capsule acts as a better restraint to proximal migration of the humeral head,[3] and is considered to be a key static stabilizer

Summary

Result

At 3 months after the operation, we made an appointment with the patient to check on the shoulder range of motion and to provide a strengthening program for the rotator cuff muscle. The patient can do full active forward flexion pain free (Figure 9), for active abduction external rotation (ABER) is nearly 90 (Figure 9). The internal rotation is about L2 level (Figure 10)

Discussion

Conclusion