Biceps Transposition for Biological Superior Capsular Reconstruction
Reconstruction of the superior capsule is a valuable intervention for some patients in whom massive, irreparable posterosuperior rotator cuff tears are identified. Superior capsular reconstruction techniques most commonly use either tensor fascia lata autograft or dermal allograft. As an alternative...
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2020-06-01
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Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720300566 |
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doaj-be857762dba745e18e2443ffaf6360472021-06-10T04:57:05ZengElsevierArthroscopy Techniques2212-62872020-06-0196e841e846Biceps Transposition for Biological Superior Capsular ReconstructionScott C. Adrian, M.D.0Larry D. Field, M.D.1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Upper Extremity Service, Sports Medicine Fellowship Program, Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.; Address correspondence to Larry D. Field, M.D., Mississippi Sports Medicine and Orthopaedic Center, 1325 E Fortification St, Jackson, MS 39202, U.S.A.Reconstruction of the superior capsule is a valuable intervention for some patients in whom massive, irreparable posterosuperior rotator cuff tears are identified. Superior capsular reconstruction techniques most commonly use either tensor fascia lata autograft or dermal allograft. As an alternative to more traditional superior capsular reconstruction, we commonly transpose and incorporate the biceps tendon into the rotator cuff repair construct in such patients instead. This biological superior capsular reconstruction biceps transposition technique (”bio-SCR”), described herein, provides increased structural integrity and supplemental tendon graft using viable cells while potentially serving the role of the superior capsule. As such, transposition of the biceps tendon may offer unique and significant advantages over other techniques and can be an effective and valuable alternative in appropriate cases.http://www.sciencedirect.com/science/article/pii/S2212628720300566 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Scott C. Adrian, M.D. Larry D. Field, M.D. |
spellingShingle |
Scott C. Adrian, M.D. Larry D. Field, M.D. Biceps Transposition for Biological Superior Capsular Reconstruction Arthroscopy Techniques |
author_facet |
Scott C. Adrian, M.D. Larry D. Field, M.D. |
author_sort |
Scott C. Adrian, M.D. |
title |
Biceps Transposition for Biological Superior Capsular Reconstruction |
title_short |
Biceps Transposition for Biological Superior Capsular Reconstruction |
title_full |
Biceps Transposition for Biological Superior Capsular Reconstruction |
title_fullStr |
Biceps Transposition for Biological Superior Capsular Reconstruction |
title_full_unstemmed |
Biceps Transposition for Biological Superior Capsular Reconstruction |
title_sort |
biceps transposition for biological superior capsular reconstruction |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2020-06-01 |
description |
Reconstruction of the superior capsule is a valuable intervention for some patients in whom massive, irreparable posterosuperior rotator cuff tears are identified. Superior capsular reconstruction techniques most commonly use either tensor fascia lata autograft or dermal allograft. As an alternative to more traditional superior capsular reconstruction, we commonly transpose and incorporate the biceps tendon into the rotator cuff repair construct in such patients instead. This biological superior capsular reconstruction biceps transposition technique (”bio-SCR”), described herein, provides increased structural integrity and supplemental tendon graft using viable cells while potentially serving the role of the superior capsule. As such, transposition of the biceps tendon may offer unique and significant advantages over other techniques and can be an effective and valuable alternative in appropriate cases. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628720300566 |
work_keys_str_mv |
AT scottcadrianmd bicepstranspositionforbiologicalsuperiorcapsularreconstruction AT larrydfieldmd bicepstranspositionforbiologicalsuperiorcapsularreconstruction |
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