![]() This article reviews the anatomy and function of the rotator cuff and shoulder capsule patho-etiology of rotator cuff tears, particularly the irreparable ones and rationale, techniques, outcomes, and future direction of superior capsular reconstruction in the context of this clinical indication. However, the literature lacks studies with large numbers of patients, consistency of results, and long-term outcomes. Recently, superior capsular reconstruction has been introduced as an alternative surgical option for these tears and has demonstrated favorable short-term outcomes. Current operative management options for tears that are considered irreparable include debridement, partial repair, biceps tenotomy, interpositional grafting, tendon transfers, and reverse shoulder arthroplasty. Risk factors for failure of repair or inability to repair include advancing age of the patient, chronicity of the tear, and larger tear size. Rotator cuff tear is a common yet functionally debilitating shoulder condition. ![]()
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