Arthroscopic Superior Capsule Reconstruction Using Autologous Fascia Lata and Biceps Tendon Augmentation

Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is to introduce a modified arthroscopic technique using the long head of the bic...

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Published inArthroscopy techniques (Amsterdam) Vol. 10; no. 6; pp. e1411 - e1415
Main Authors Hsu, Chen-Heng, Chiu, Chih-Hao, Weng, Chun-Jui, Hsu, Kuo-Yau, Chan, Yi-Sheng, Chao-Yu Chen, Alvin
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.06.2021
Elsevier
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Technical Note
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Abstract Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is to introduce a modified arthroscopic technique using the long head of the biceps tendon as augmentation for superior capsule reconstruction with fascia lata autograft. [Display omitted]
AbstractList Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is to introduce a modified arthroscopic technique using the long head of the biceps tendon as augmentation for superior capsule reconstruction with fascia lata autograft. Video 1 A 30° arthroscope is used through a standard posterior portal in the right shoulder of a 67-year-old female patient in the beach-chair position. An irreparable rotator cuff tear is identified during arthroscopic examination. The fascia graft is securely fixed to the supraglenoid fossa with anchor suture and to the greater tuberosity with a suture-bridge technique. Full coverage of the rotator cuff defect by the fascia graft is confirmed posteriorly by close approximation between the posterior margin of the fascia graft and residual rotator cuff tissue. Being identified by probing, the proximal part of the long head of the biceps tendon (LHBT) is sutured to the anterosuperior part of the fascia graft. The glenoid side is indicated by ; the greater tuberosity side, by .
Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is to introduce a modified arthroscopic technique using the long head of the biceps tendon as augmentation for superior capsule reconstruction with fascia lata autograft. [Display omitted]
Author Chan, Yi-Sheng
Weng, Chun-Jui
Hsu, Chen-Heng
Chiu, Chih-Hao
Chao-Yu Chen, Alvin
Hsu, Kuo-Yau
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Title Arthroscopic Superior Capsule Reconstruction Using Autologous Fascia Lata and Biceps Tendon Augmentation
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