Clinical outcomes and temporal changes in the range of motion following superior capsular reconstruction for irreparable rotator cuff tears: Comparison based on the Hamada classification, with or without shoulder pseudoparalysis, and status of the subscap
Journal of Shoulder and Elbow Surgery May 03, 2021
Takayama K, et al. - This study was intended to verify the factors influencing postoperative outcomes after superior capsular reconstruction using tensor fascia lata graft; for which, researchers assessed the Hamada grade, patients with or without shoulder pseudoparalysis, and status of the subscapularis tendon. Between June 2014 and October 2018, a total of 54 consecutive patients with irreparable rotator cuff tears or shoulder pseudoparalysis who had undergone superior capsular reconstruction were included. This study’s findings demonstrate that the status of the subscapularis tendon, rather than the Hamada grade or the presence or absence of shoulder pseudoparalysis, influences the clinical outcomes after superior capsular reconstruction. Thus, for superior capsular reconstruction, reparability or intactness of the subscapularis tendon was an important factor in considering the surgical indication.
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