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Updated: Feb 1, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Arthroscopic Superior Capsular Reconstruction for Dislocation of the Shoulder with an Irreparable Rotator Cuff Tear:
Yutaro Tajika1, Naoya Nishinaka1,2, Taishi Uehara1
1Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Case:
A 49-year-old man presented with apprehension of a repeat dislocation after a left shoulder dislocation, which was accompanied by pain and restricted active range of motion of the shoulder. We performed an arthroscopic Bankart repair as well as an arthroscopic superior capsular reconstruction (ASCR) with fascia lata for the irreparable massive rotator cuff tear. Two years postoperatively, there was no shoulder pain or repeat dislocation; the range of motion had improved.
Conclusion:
We regard ASCR in combination with a Bankart repair as a useful treatment for recurrent shoulder dislocation that is accompanied by an irreparable massive rotator cuff tear.
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