The superior capsular reconstruction is an alternative treatment option for massive, irreparable posterosuperior rotator cuff tears. Treatment goals of these tears are to reduce pain, restore shoulder function and delay the development of advanced cuff tear arthropathy.
The superior capsule is the upper part of the capsular lining of your shoulder joint. It has been shown to have a useful role in helping center the humeral head on the glenoid socket and thereby assisting with elevation of your arm. This is a role normally played by your supraspinatus rotator cuff tendon. When the supraspinatus tendon has failed or torn beyond repair, reconstructing the superior capsule has been shown to be a useful surgical procedure.
The procedure was developed by Dr. Teruhisa Mihata in Japan, who has refined the technique in such a way that many shoulder surgeons around the world can successfully and reliably perform this very complex operation.
For the right patients, the published results are over 80% improvement in strength, pain relief and function.