[Superior capsule reconstruction in massive and irreparable rupture of the rotator cuff]

Massive and irreparable rotator cuff injury is a clinical problem that results in loss of shoulder function and merits timely intervention that helps preserve it as long as possible before arthropathy. The option of repair of the superior capsule with autograft of Fascia Lata in the massive and irreparable rupture of the rotator cuff, is a technique proposed by Mihata, which has demonstrated an improvement of function in the short and medium term.

Female of 51 years old with irreparable tear of supraspinatus and infraspinatus, failure in conservative treatment, clinically with intolerable shoulder pain, subjective dysfunction without signs of moderate to severe arthropathy, no bone defects, stiffness or dysfunction of Deltoid, Latissimus Dorsi and Pectoralis Major. Superior capsule reconstruction was performed with autograft of fascia Lata in August 2018, with follow-up for the first 12 weeks. The result of this procedure showed improvement of the SST 58.33 and QD 20.45 scales compared to pre-surgical evaluation (SST 33.3 and QD 27.7). Full active mobilization in abduction, flexion, extension and internal rotation. The external rotation of the shoulder has no functional improvement.