Related Experiment Video
Updated: Nov 21, 2025

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
Anterior Capsular Reconstruction with Dermal Allograft in Combination With Anatomic Glenohumeral Arthroplasty: A Case
Derek T Bernstein1,2, Chase T Kluemper1,3, Kenneth A Kearns1
1Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania.
Case:
A 43-year-old man with chronic right shoulder pain and dysfunction due to recurrent anterior instability, irreparable subscapularis tear, and glenohumeral arthritis presented to our practice. After workup and counseling, he was treated with anatomic total shoulder arthroplasty augmented by anterior capsular reconstruction using human acellular dermal allograft. At 15 months postoperatively, his forward elevation, external rotation, and internal rotation were 160, 45, and T12, nearly equal to contralateral values. His glenohumeral joint remained reduced, and no complications were encountered.
Conclusion:
We report the first known anterior capsular reconstruction performed in combination with anatomic shoulder arthroplasty.
