A surgical procedure addresses irreparable rotator cuff tears, particularly those involving the supraspinatus tendon. The technique involves reconstructing the superior capsule of the shoulder joint using a graft, often derived from fascia lata or allograft tissue. This graft is anchored to the glenoid superiorly and the greater tuberosity of the humerus inferiorly, effectively bridging the gap created by the deficient rotator cuff and restoring stability to the shoulder.
This intervention aims to alleviate pain and improve shoulder function in individuals with massive, irreparable rotator cuff tears who have not responded to conservative treatments. By recreating a stable fulcrum for shoulder movement, the procedure can decrease the upward migration of the humerus and improve the biomechanics of the joint. Its emergence provides an alternative to reverse total shoulder arthroplasty in select patients, potentially preserving native joint anatomy and function for a longer duration.
