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Updated: Feb 1, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Arthroscopic Superior Capsular Reconstruction or Reverse Total Shoulder Arthroplasty for Irreparable Bilateral
Clara Azevedo1,2, Ana Catarina Ângelo1,2
1Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
Case:
An active elderly patient with bilateral chronic rotator cuff tear underwent a reverse total shoulder arthroplasty (RTSA) on the right shoulder and an arthroscopic superior capsular reconstruction (ASCR) with a fascia lata autograft on the left shoulder. To our knowledge, this is the first reported case that compares these 2 techniques for irreparable rotator cuff tears in the same patient.
Conclusion:
The patient had very good midterm (2 and 8 years of follow-up) functional outcomes with both treatment options. However, the ASCR was found to have superior clinical outcome measures, and it is a valid alternative to RTSA for irreparable rotator cuff tears in the appropriate setting.
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