- 1 How does superior capsular reconstruction work?
- 2 Is superior capsular reconstruction an open surgery?
- 3 What is the recovery time for a superior capsular reconstruction?
- 4 What is the superior capsular?
- 5 How successful is superior capsular reconstruction?
- 6 What happens after Superior capsular reconstruction?
- 7 What is a capsular reconstruction?
- 8 What is a dermal allograft?
- 9 What is the CPT code for superior capsular reconstruction?
- 10 What is SCR shoulder?
- 11 What are indications for an SCR?
- 12 What are SCR repairing techniques?
- 13 What is a subscapularis repair?
How does superior capsular reconstruction work?
It works by providing a static restraint to the superior humeral head migration to optimize the rotator cuff force couples, hence improving joint kinematics. The acceptance of superior capsular reconstruction has made it rapidly evolving in terms of a wider variety of procedures and broader surgical indications.
Is superior capsular reconstruction an open surgery?
The SCR procedure can be performed either open or arthroscopically with the patient in either the beach-chair or lateral-decubitus position.
What is the recovery time for a superior capsular reconstruction?
Typically, the average recovery time for superior capsular reconstruction can be 8-12 months.
What is the superior capsular?
The superior capsule is the upper part of the capsular lining of your shoulder joint. It has been shown to have a useful role in helping centre the humeral head on the glenoid socket and thereby assisting with elevation of your arm. This is a role normally played by your supraspinatus rotator cuff tendon.
How successful is superior capsular reconstruction?
The overall success rate was 67.8%, although 40% of the allografts were 1 mm thick. When SCR done with 1-mm grafts were excluded, the success rate increased to 75.5%. Another study by Hirahara et al.  demonstrated more significant improvements in pain and functional outcome measures in those with grafts > 3 mm.
What happens after Superior capsular reconstruction?
What Is the Standard SCR Surgery Recovery Time? Typically, patients are kept immobile for six weeks using an abduction pillow. Passive motion begins at four weeks, and active motion may start after six weeks. Exercises to strengthen the shoulder and arm may begin after eight weeks.
What is a capsular reconstruction?
When defects in the underlying upper joint capsule add to the instability caused by rotator cuff tears, it cannot be repaired with conventional treatments. Superior capsular reconstruction is a surgical procedure performed to restore shoulder stability in irreparable rotator cuff tears.
What is a dermal allograft?
Human dermal allograft is an extracellular collagen matrix that acts as a collagen scaffold for host. cell repopulation and integration. Surgical applications for human dermal allografts are evolving.
What is the CPT code for superior capsular reconstruction?
When the surgeon performs both procedures, we recommend 29827 for coding of rotator cuff repair and 29806 for capsular reconstruction. These codes have been previously described and valued through the peer- reviewed RUC and CPT processes.
What is SCR shoulder?
Superior Capsular Reconstruction is a surgical procedure to repair massive, irreparable rotator cuff tears. The surgery involves reconstruction of the superior capsule of the shoulder joint using an autograft (tissue from the same person) or an allograft (tissue from a donor). Anatomy.
What are indications for an SCR?
The indications for an arthroscopic SCR are a massive irreparable supraspinatus and/or infraspinatus tear, minimal to no arthritis, and a fully functioning deltoid muscle (Table 1). The procedure can be performed either in an open manner or arthroscopically (beach-chair or lateral decubitus position).
What are SCR repairing techniques?
Superior Capsular Reconstruction can be used to address these tears in which there is not sufficient rotator cuff to repair. This procedure involves use of a graft secured to the glenoid and greater tuberosity to reconstruct the superior capsule, restoring joint function and superior glenohumeral stability.
What is a subscapularis repair?
The overall goal of an arthroscopic subscapularis repair is to reattach the torn tendon back to its original attachment site on the humerus (upper arm bone). Dr. Ticker will perform this procedure as a minimally invasive rotator cuff surgery utilizing several tiny incisions at the front of the shoulder.