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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Main Authors: Scott C. Adrian, M.D., Larry D. Field, M.D.
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720300566
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spelling 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
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