Arthroscopic Superior Capsular Reconstruction (SCR) –for irreparable cuff tears in selected patients.
What is Arthroscopic Superior Capsular Reconstruction?
Superior capsular reconstruction (SCR) is a recently-developed surgery technique for repairing massive, irreparable rotator cuff tears. The superior capsule is the upper part of the capsular lining of the shoulder joint. The procedure utilizes a graft from the superior glenoid (top of the joint) to create an anchor between the shoulder socket and the head of the upper arm bone (humerus). Dr. James Mazzara, shoulder surgeon, uses this type of graft to restore continuity to the capsule and mechanical balance to the joint for patients in Manchester, South Windsor, Rocky Hill, Glastonbury and surrounding Hartford communities.
When is Superior Capsular Reconstruction Used?
In some patients rotator cuff tears can be massive, causing pain, weakness and the complete inability to move or raise their arm. In some cases, tendon tears can be very large and can retract, making them irreparable. In the past, surgical techniques used to address massive tears included tendon transfer or patch graft surgery. However, the lack of upper-shoulder stability with a rotator cuff injury can narrow the space for passage of the rotator cuff tendons under the acromion. This results in unwanted mechanical abrasion of the tendon, making the original tear worse. SRC helps hold the ball of the arm bone (humeral head) into the socket (glenoid) of the shoulder. Studies have shown Superior capsular reconstruction restores stability to the shoulder joint, resulting in less pain and better function for patients.
Are you a candidate for superior capsular reconstruction?
There are two ways to initiate a consultation with Dr. Mazzara:
You can provide current X-rays and/or MRIs for a clinical case review with Dr. Mazzara.
You can schedule an office consultation with Dr. Mazzara.
Can SCR Surgery be Done Arthroscopically?
Arthroscopic superior capsular reconstruction surgery for irreparable cuff tears in selected patients is the preferred method of operation for Dr. James Mazzara, shoulder surgeon. Also called ASCR, Dr. Mazzara utilizes the minimally invasive surgery approach to promote quicker healing in his patients from Manchester, South Windsor, Glastonbury and surrounding Hartford communities. Patients who undergo ASCR have less risk of infection, less stiffness and more mobility after surgery.
For additional information, or to find out if you are a candidate for SCR, please contact the orthopedic practice of Dr. James Mazzara, shoulder surgeon, in the Manchester, South Windsor, Rocky Hill, Glastonbury and surrounding Hartford communities.