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Case study: failure of superior capsular reconstruction using dermal allograft

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Abstract

Superior capsular reconstruction (SCR) is a novel technique for treating irreparable rotator cuff tears in younger patients in whom a reverse total shoulder arthroplasty is not the optimal treatment choice. This case study describes a middle-aged male with a recurrent, massive, irreparable rotator cuff tear treated with SCR that subsequently failed at the glenoid attachment. The patient underwent successful arthroscopic revision of the SCR. The case illustrates the MRI and arthroscopic correlations of the failed dermal allograft reconstruction, which to our knowledge has not been previously shown in the radiology literature.

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References

  1. Adams CR, Denard PJ, Brady PC, Hartzler RU, Burkhart SS. The arthroscopic superior capsular reconstruction. Am J Orthop (Belle Mead NJ). 2016;45(5):320–4.

    Google Scholar 

  2. Burkhart SS, Denard PJ, Adams CR, Brady PC, Hartzler RU. Arthroscopic superior capsular reconstruction for massive irreparable rotator cuff repair. Arthrosc Tech. 2016;5(6):e1407–18.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hirahara AM, Adams CR. Arthroscopic superior capsular reconstruction for treatment of massive irreparable rotator cuff tears. Arthrosc Tech. 2015;4(6):e637–41.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical role of capsular continuity in superior capsule reconstruction for irreparable tears of the supraspinatus tendon. Am J Sports Med. 2016;44(6):1423–30.

    Article  PubMed  Google Scholar 

  5. Petri M, Greenspoon JA, Millett PJ. Arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthrosc Tech. 2015;4(6):e751–5.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Rossi MJ. Editorial commentary: superior capsular reconstruction for irreparable supraspinatus tear reveals improved biomechanics with a thicker graft placed in 15° to 45° of shoulder abduction. Arthroscopy. 2016;32(3):427.

    Article  PubMed  Google Scholar 

  7. Thorsness R, Romeo A. Massive rotator cuff tears: trends in surgical management. Orthopedics. 2016;39(3):145–51.

    Article  PubMed  Google Scholar 

  8. Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med. 2012;40(10):2248–55.

    Article  PubMed  Google Scholar 

  9. Mihata T, Lee TQ, Watanabe C, Fukunishi K, Ohue M, Tsujimura T, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459–70.

    Article  PubMed  Google Scholar 

  10. Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical effect of thickness and tension of fascia lata graft on glenohumeral stability for superior capsule reconstruction in irreparable supraspinatus tears. Arthroscopy. 2016;32(3):418–26.

    Article  PubMed  Google Scholar 

  11. Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical effects of acromioplasty on superior capsule reconstruction for irreparable supraspinatus tendon tears. Am J Sports Med. 2016;44(1):191–7.

    Article  PubMed  Google Scholar 

  12. Petri M, Greenspoon JA, Moulton SG, Millett PJ. Patch-augmented rotator cuff repair and superior capsule reconstruction. Open Orthop J. 2016;10:315–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Schon JM, Katthagen JC, Dupre CN, Mitchell JJ, Turnbull TL, Adams CR, et al. Quantitative and computed tomography anatomic analysis of glenoid fixation for superior capsule reconstruction: a cadaveric study. Arthroscopy. 2017;33(6):1131–7

  14. Tokish JM, Beicker C. Superior capsule reconstruction technique using an acellular dermal allograft. Arthrosc Tech. 2015;4(6):e833–9.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Anley CM, Chan SK, Snow M. Arthroscopic treatment options for irreparable rotator cuff tears of the shoulder. World J Orthop. 2014;5(5):557–65.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Minagawa H, Yamamoto N, Abe H, Fukuda M, Seki N, Kikuchi K, et al. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: from mass-screening in one village. J Orthop. 2013;10(1):8–12.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8(4):296–9.

    Article  CAS  PubMed  Google Scholar 

  18. Oliva F, Osti L, Padulo J, Maffulli N. Epidemiology of the rotator cuff tears: a new incidence related to thyroid disease. Muscles Ligaments Tendons J. 2014;4(3):309–14.

    PubMed  PubMed Central  Google Scholar 

  19. Favard L, Levigne C, Nerot C, Gerber C, De Wilde L, Mole D. Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res. 2011;469(9):2469–75.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Cazeneuve JF, Cristofari DJ. Long term functional outcome following reverse shoulder arthroplasty in the elderly. Orthop Traumatol Surg Res. 2011;97(6):583–9.

    Article  PubMed  Google Scholar 

  21. Bacle G, Nové-Josserand L, Garaud P, Walch G. Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Joint Surg Am. 2017;99(6):454–61.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, UTSW, 5323 Harry Hines Blvd, Dallas, TX, 75390-9178, USA

    J. Zerr & A. Chhabra

  2. Department of Diagnostic and Interventional Imaging, Houston, TX, USA

    N. M. Beckmann

  3. Department of Orthopedic Surgery, Houston, TX, USA

    J. D. McDermott & R. K. Fullick

Authors
  1. J. Zerr
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  2. J. D. McDermott
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  3. N. M. Beckmann
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  4. R. K. Fullick
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  5. A. Chhabra
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Correspondence to A. Chhabra.

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Conflicts of interest

Dr Avneesh Chhabra is an ICON medical consultant and receives royalties from Wolters and Jaypee unrelated to this project. The remaining authors declare that they have no conflicts of interest.

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Zerr, J., McDermott, J.D., Beckmann, N.M. et al. Case study: failure of superior capsular reconstruction using dermal allograft. Skeletal Radiol 46, 1585–1589 (2017). https://doi.org/10.1007/s00256-017-2716-4

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  • DOI: https://doi.org/10.1007/s00256-017-2716-4

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