Superior Capsule reconstruction is a type of surgery aimed to restore shoulder stability in irreparable rotator cuff tears. This surgical procedure is performed when conventional treatments are not able to repair the defects in the underlying upper joint capsule. Irreparable rotator cuff tears are massive tears that can be asymptomatic or cause severe impairment and pain. Depending on the size and extent of retraction of the tear, superior capsule reconstruction may be suggested. Some common indications include:
- Failure of initial attempt to repair rotator cuff tear.
- Arthritis of the glenohumeral joint.
- Sufficient amount of healthy bone to allow anchor fixation.
- Minimal migration of the humerus.
- Intact teres minor and subcapsular in rotator cuff muscles.
More About This Surgery
There are many advantages of superior capsule reconstruction including:
- Restores shoulder stability
- Improves shoulder flexibility
- Improves muscle strength
- Slows down the progression of arthritis
- No graft tears
- Improves pain
As with any surgery, some complications after superior capsule reconstruction may include:
Superior capsule reconstruction is usually an outpatient procedure. Dr. Stowell will prescribe pain medication to reduce inflammation and relieve post-surgical pain. He will encourage you to gradually move your recovering arm, but the first few weeks after surgery, you may be instructed to avoid lifting heavy objects, driving, and excessively working on the computer. Your rehabilitation may include certain exercises or even physical therapy. As you heal, the goal is to lower stiffness and spasms, improve your range of motion, and strengthen your shoulder altogether so that you can restore your peak potential.