Superior Capsular Reconstruction
A specialised procedure using graft tissue to reconstruct the superior shoulder capsule in patients with massive, irreparable rotator cuff tears — restoring stability without replacement.
What is Superior Capsular Reconstruction?
Superior Capsular Reconstruction (SCR) is performed for patients with massive rotator cuff tears that cannot be directly repaired — where the tendon is too damaged or retracted to be reattached to the bone. In such cases, a graft tissue is used to reconstruct the superior capsule of the shoulder joint. The graft bridges the gap between the glenoid (socket) and the humeral head (ball), restoring the stabilising structure that the torn rotator cuff can no longer provide. SCR is reserved for patients who still have well-preserved joint cartilage and wish to avoid or delay total shoulder replacement.
How the Procedure Works
Pre-operative MRI / CT Planning
MRI or CT confirms irreparability of the tear, assesses cartilage quality, and guides graft sizing and anchor placement strategy.
Anaesthesia & Arthroscopic Access
Regional or general anaesthesia is administered; small keyhole incisions allow the arthroscope to confirm full extent of rotator cuff damage.
Evaluation & Tissue Preparation
Irreparability is confirmed; inflamed or loose tissue is debrided, and bone surfaces on the glenoid and humeral head are prepared for graft fixation.
Graft Placement
The prepared graft tissue is introduced through the arthroscopic portals and positioned between the glenoid and humeral head to reconstruct the superior capsule.
Graft Fixation
The graft is secured using surgical anchors and sutures on both the glenoid and humeral sides, restoring correct capsular tension and shoulder mechanics.
Inspection & Wound Closure
Shoulder movement is tested to confirm stable graft function; instruments are removed, incisions are closed, and the arm is supported in a sling.
Outcomes
Who Needs This Treatment?
- →Treats massive irreparable tears when conventional repair cannot be performed
- →Restores shoulder stability and biomechanics using graft tissue
- →Significantly reduces chronic, disabling shoulder pain
- →Improves arm elevation and meaningful functional movement
- →Delays or prevents the need for total shoulder replacement
- →Performed arthroscopically — minimally invasive with smaller incisions
“Superior Capsular Reconstruction is reserved for patients with massive, irreparable tears where standard repair cannot be performed. When the right patient is selected, the results can be remarkable — significant pain relief and recovery of shoulder function without the need for replacement.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic & Trauma Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked
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