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Related Concept Videos

Muscles that Move the Arm01:31

Muscles that Move the Arm

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Bones of the Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Muscles that Move the Forearm01:16

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The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
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Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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Biceps Transposition for Biological Superior Capsular Reconstruction.

Scott C Adrian1, Larry D Field2

  • 1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

Arthroscopy Techniques
|June 25, 2020
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Summary

This study introduces a novel biological superior capsular reconstruction (bio-SCR) technique using biceps transposition for massive rotator cuff tears. This method offers enhanced structural integrity and a viable cell graft as an alternative to traditional grafts.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Regenerative Medicine

Background:

  • Massive, irreparable posterosuperior rotator cuff tears often require reconstructive interventions.
  • Current superior capsular reconstruction techniques commonly utilize tensor fascia lata autografts or dermal allografts.
  • These grafts may have limitations in providing biological integration and long-term structural support.

Purpose of the Study:

  • To present a novel biological superior capsular reconstruction (bio-SCR) technique.
  • To evaluate the potential advantages of using biceps tendon transposition for superior capsular reconstruction.
  • To offer an alternative biological solution for patients with massive, irreparable rotator cuff tears.

Main Methods:

  • Description of the bio-SCR technique involving biceps tendon transposition and incorporation into the rotator cuff repair construct.
  • Utilizing the patient's own biceps tendon as a biological graft.
  • Focus on the structural and biological benefits of this approach.

Main Results:

  • The bio-SCR technique provides increased structural integrity to the reconstructed superior capsule.
  • Incorporation of the biceps tendon offers a supplemental tendon graft with viable cells.
  • This method potentially restores the function of the superior capsule.

Conclusions:

  • Biceps tendon transposition for superior capsular reconstruction is a viable and effective alternative.
  • The bio-SCR technique offers unique advantages, including biological integration and enhanced structural support.
  • This approach may be a valuable option for select patients with massive, irreparable rotator cuff tears.