Superior Capsular Reconstruction (SCR) Technique

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.

Reference

1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

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The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.

Reference

1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

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Educational Resources and Products

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Superior Capsular Reconstruction (SCR): 2018 Technique Evolution

Stephen S. Burkhart, MD
Surgical Technique Videos | 30:44 | English | 08/16/2018 | VID1-01255-EN A
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Superior Capsular Reconstruction (SCR) Using Knotless SutureTak® Anchor

Christopher Adams, MD
Surgical Technique Videos | 08:08 | English | 03/26/2018 | VID1-00903-EN B
Superior Capsular Reconstruction With ArthroFLEX® Dermal Allograft
Superior Capsular Reconstruction With ArthroFLEX® Dermal Allograft
Surgical Technique Animations | 03:52 | English | 03/13/2019 | AN1-00530-en-US A
Superior Capsular Reconstruction (SCR) Under the Cuff
Superior Capsular Reconstruction (SCR) Under the Cuff
Sam Akhavan, MD
Case Presentation Videos | 09:53 | English | 06/01/2020 | VID1-000867-en-US A
Superior Capsular Reconstruction With ArthroFLEX® Graft: Does the Graft Heal?
Superior Capsular Reconstruction With ArthroFLEX® Graft: Does the Graft Heal?
Stephen S. Burkhart, MD
Presentation Videos | 04:07 | English | 05/02/2018 | VPT1-00723-EN C
Superior Capsular Reconstruction Surgical Technique for Massive Irreparable Rotator Cuff Tears
Superior Capsular Reconstruction Surgical Technique for Massive Irreparable Rotator Cuff Tears
Surgical Technique Guides | English | 10/31/2022 | LT1-00020-EN D
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Surgical Technique Videos (5)

Bursal Acromial Reconstruction for Irreparable Rotator Cuff Tears
Bursal Acromial Reconstruction for Irreparable Rotator Cuff Tears
Matt Ravenscroft, FRCS, MBBS
07:21 | English | 05/22/2020 | VID1-000621-en-US A
Superior Capsular Reconstruction (SCR): 2018 Technique Evolution
Superior Capsular Reconstruction (SCR): 2018 Technique Evolution
Stephen S. Burkhart, MD
30:44 | English | 08/16/2018 | VID1-01255-EN A
Superior Capsular Reconstruction (SCR) Using Knotless SutureTak® Anchor
Superior Capsular Reconstruction (SCR) Using Knotless SutureTak® Anchor
Christopher Adams, MD
08:08 | English | 03/26/2018 | VID1-00903-EN B
Superior Capsular Reconstruction (SCR)
Superior Capsular Reconstruction (SCR)
Stephen S. Burkhart, MD
22:38 | English | 01/12/2017 | VID1-00875-EN A
Superior Capsular Reconstruction Cadaveric Demonstration
Superior Capsular Reconstruction Cadaveric Demonstration
Christopher Adams, MD
07:19 | English | 07/15/2015 | VID1-00452-EN C

Surgical Technique Animations (1)

Superior Capsular Reconstruction With ArthroFLEX® Dermal Allograft
Superior Capsular Reconstruction With ArthroFLEX® Dermal Allograft
03:52 | English | 03/13/2019 | AN1-00530-en-US A

Surgical Technique Guides (1)

Superior Capsular Reconstruction Surgical Technique for Massive Irreparable Rotator Cuff Tears
Superior Capsular Reconstruction Surgical Technique for Massive Irreparable Rotator Cuff Tears
English | 10/31/2022 | LT1-00020-EN D

Brochures (2)

ArthroFLEX® Decellularized Bio-Implant for Soft-Tissue Repair
ArthroFLEX® Decellularized Bio-Implant for Soft-Tissue Repair
English | 01/08/2024 | LB1-0822-en-US J
ArthroFlex® - Bioimplante descelularizado para reparación de tejido blando
ArthroFlex® - Bioimplante descelularizado para reparación de tejido blando
Spanish | 09/19/2017 | LB1-0822-ES F

Case Presentation Videos (6)

Biologic Tuberoplasty for Irreparable Rotator Cuff Tears
Biologic Tuberoplasty for Irreparable Rotator Cuff Tears
Justin W. Griffin, MD
03:45 | English | 02/10/2023 | VID1-002943-en-US A
Patient Selection and Outcomes With Biologic Tuberoplasty for Massive Irreparable Rotator Cuff Tears Using ArthroFLEX® Dermal Allograft
Patient Selection and Outcomes With Biologic Tuberoplasty for Massive Irreparable Rotator Cuff Tears Using ArthroFLEX® Dermal Allograft
Raffy Mirzayan, MD
04:43 | English | 02/09/2023 | VID1-003172-en-US A
Bursal Acromial Reconstruction Case Presentation
Bursal Acromial Reconstruction Case Presentation
Matt Ravenscroft, FRCS, MBBS
04:30 | English | 06/13/2022 | VID1-003069-en-US A
Second Look: Superior Capsular Reconstruction
Second Look: Superior Capsular Reconstruction
Joel J.A. Lobo, MD, FRCSC
05:26 | English | 07/23/2020 | VID1-000794-en-US B
Superior Capsular Reconstruction (SCR) Under the Cuff
Superior Capsular Reconstruction (SCR) Under the Cuff
Sam Akhavan, MD
09:53 | English | 06/01/2020 | VID1-000867-en-US A
My Experience With Superior Capsular Reconstruction
My Experience With Superior Capsular Reconstruction
Brian J. Cole, MD, MBA
09:00 | English | 08/09/2019 | VID1-000049-en-US B

Office Forms & Reference Documents (1)

Rotator Cuff Repair with ArthroFlex Denial Appeal Template
Rotator Cuff Repair with ArthroFlex Denial Appeal Template
English | 05/17/2023 | OF1-000438-en-US A

Patient Education Animations (1)

Superior Capsular Reconstruction
Superior Capsular Reconstruction
02:27 | English | 08/09/2017 | PAN1-00086-EN D

Presentation Videos (16)

Superior Capsular Reconstruction vs Reverse Total Shoulder Arthroplasty
Superior Capsular Reconstruction vs Reverse Total Shoulder Arthroplasty
Alicia K. Harrison, MD
08:23 | English | 07/14/2020 | VID1-000839-en-US A
Superior Capsular Reconstruction and Tendon Transfer for Posterior Superior Rotator Cuff Disease
Superior Capsular Reconstruction and Tendon Transfer for Posterior Superior Rotator Cuff Disease
Paul Sethi, MD
13:35 | English | 05/06/2020 | VID1-001038-en-US A
BreakThrough™ With Christopher Adams, MD - Episode 12: Superior Capsular Reconstruction (SCR)
BreakThrough™ With Christopher Adams, MD - Episode 12: Superior Capsular Reconstruction (SCR)
Stephen S. Burkhart, MD | Peter J. Millett, MD, MS | Christopher Adams, MD | Matt Ravenscroft, FRCS, MBBS
22:57 | English | 07/09/2019 | VID1-000326-en-US A
The Myth of the Irreparable Rotator Cuff Tear
The Myth of the Irreparable Rotator Cuff Tear
Stephen S. Burkhart, MD
11:27 | English | 12/14/2018 | VPT1-01106-EN A
Superior Capsular Reconstruction With ArthroFLEX® Graft: Successful Patient Outcome and Second Look
Superior Capsular Reconstruction With ArthroFLEX® Graft: Successful Patient Outcome and Second Look
Julie Y. Bishop, MD
09:01 | English | 10/22/2018 | VPT1-01103-EN A
Superior Capsular Reconstruction With ArthroFLEX® Graft: Does the Graft Heal?
Superior Capsular Reconstruction With ArthroFLEX® Graft: Does the Graft Heal?
Stephen S. Burkhart, MD
04:07 | English | 05/02/2018 | VPT1-00723-EN C
Superior Capsular Reconstruction (SCR): The New Gold Standard for the Irreparable Cuff Tear in Active Patients
Superior Capsular Reconstruction (SCR): The New Gold Standard for the Irreparable Cuff Tear in Active Patients
Stephen S. Burkhart, MD
08:33 | English | 04/09/2018 | VPT1-01051-EN B
The Superior Capsular Reconstruction: What Have We Learned?
The Superior Capsular Reconstruction: What Have We Learned?
Christopher Adams, MD
17:20 | English | 10/10/2017 | VPT1-00934-EN B
Superior Capsule Reconstruction (SCR): History and Safety of Procedure
Superior Capsule Reconstruction (SCR): History and Safety of Procedure
Teruhisa Mihata, MD, PhD
Presentation Videos | 10:12 | English | 09/06/2017 | VPT1-00506-EN B
Superior Capsular Reconstruction (SCR) for Pseudoparalysis
Superior Capsular Reconstruction (SCR) for Pseudoparalysis
Stephen S. Burkhart, MD
Presentation Videos | 03:45 | English | 01/09/2017 | VPT1-00722-EN A
Superior Capsular Reconstruction
Superior Capsular Reconstruction
Stephen S. Burkhart, MD
Presentation Videos | 22:01 | English | 09/16/2016 | VPT1-00696-EN A
Superior Capsular Reconstruction
Superior Capsular Reconstruction
Christopher Adams, MD
Presentation Videos | 18:57 | English | 03/02/2016 | VPT1-00641-EN A
Massive Tears: Joint Preservation by Cuff Repair or by Superior Capsular Repair
Massive Tears: Joint Preservation by Cuff Repair or by Superior Capsular Repair
Stephen S. Burkhart, MD
Presentation Videos | 29:40 | English | 02/03/2016 | VID1-00689-EN A
Arthroscopic Repair of Massive Rotator Cuff Tears
Arthroscopic Repair of Massive Rotator Cuff Tears
Stephen S. Burkhart, MD
Presentation Videos | 22:18 | English | 08/21/2015 | VPT1-00541-EN A
Superior Capsular Reconstruction for Irreparable Cuff Tears
Superior Capsular Reconstruction for Irreparable Cuff Tears
Peter J. Millett, MD, MS
Presentation Videos | 21:11 | English | 08/11/2015 | VPT1-00556-EN A
Superior Capsular Reconstruction (SCR): Biomechanics, Technique and Early Results
Superior Capsular Reconstruction (SCR): Biomechanics, Technique and Early Results
Alan M. Hirahara, FRCS, MD
Presentation Videos | 10:43 | English | 05/01/2015 | VPT1-00511-EN B

Product Demonstrations (2)

Footprint Preparation for RCR and SCR Using the PoweRasp™ Instrument
Footprint Preparation for RCR and SCR Using the PoweRasp™ Instrument
Gautam P. Yagnik, MD
04:26 | English | 06/19/2020 | VID1-001063-en-US A
SCR Suture Management Using the PassPort Button™ Cannula Divider
SCR Suture Management Using the PassPort Button™ Cannula Divider
Jeffrey D. Jackson, MD
05:20 | English | 05/19/2020 | VID1-000565-en-US A

Scientific Updates (1)

Superior Capsular Reconstruction Scientific Update
Superior Capsular Reconstruction Scientific Update
English | 03/28/2023 | DOC1-000394-en-US C

Video Series (1)

BreakThrough™ with Chris Adams, MD - Episode 1: Superior Capsular Reconstruction (SCR)
BreakThrough™ with Chris Adams, MD - Episode 1: Superior Capsular Reconstruction (SCR)
Christopher Adams, MD
21:08 | English | 08/08/2017 | VID1-00567-EN B

SCR Implant System Includes: Two 4.75 mm SwiveLock C Anchors w/1 Preloaded FiberTape Loop (Medial), two 4.75 SwiveLock C Anchors (Lateral), Disposable Punch, SCORPION-multifire Needle, two 3.9 PEEK Knotless Corkscrew Anchors, Disposable Fishmouth Spear, Drill, Portal Dilator, 17-ga Spinal Needle w/Stylet, Guide Pin, and PassPort Cannula Divider
AR-2600SCR

SCR Implant System Includes: Two 4.75 mm SwiveLock C Anchors w/1 Preloaded FiberTape Loop (Medial), two 4.75 SwiveLock C Anchors (Lateral), Disposable Punch, SCORPION-multifire Needle, two 3.9 PEEK Knotless Corkscrew Anchors, Disposable Fishmouth Spear, Drill, Portal Dilator, 17-ga Spinal Needle w/Stylet, Guide Pin, and PassPort Cannula Divider

PoweRasp, 5.5 mm x 13 cm
AR-8550PR

PoweRasp, 5.5 mm x 13 cm

PowerPick, 45° 6 mm Drill Depth
AR-8150PX-45

PowerPick, 45° 6 mm Drill Depth

Decellularized Dermis 40 mm x 70 mm x 3.0 mm
AFLEX301

Decellularized Dermis 40 mm x 70 mm x 3.0 mm

SCR Guide
AR-16950SR

SCR Guide

Back Grasper with SR Handle
AR-12531SR

Back Grasper with SR Handle

KingFisher FiberTape Retriever/Grasper w/ SR Handle, Self-Ratcheting
AR-13971SR

KingFisher FiberTape Retriever/Grasper w/ SR Handle, Self-Ratcheting

FastPass Scorpion SL Suture Passer
AR-13999MF

FastPass Scorpion SL Suture Passer

Scorpion MultiFire Needle, 5/box
AR-13995N

Scorpion MultiFire Needle, 5/box

PassPort Button Cannula, 12 mm ID x 3 cm, qty. 1
AR-6592-12-30

PassPort Button Cannula, 12 mm ID x 3 cm, qty. 1

PassPort Button Cannula, 12 mm ID x 4 cm, qty. 1
AR-6592-12-40

PassPort Button Cannula, 12 mm ID x 4 cm, qty. 1

PassPort Button Cannula, 12 mm ID x 5 cm, qty. 1
AR-6592-12-50

PassPort Button Cannula, 12 mm ID x 5 cm, qty. 1

12 mm PassPort Inserter
AR-6592-12PI

12 mm PassPort Inserter

PassPort Divider, 12 mm, qty. 1
AR-6592-12D

PassPort Divider, 12 mm, qty. 1

#2 FiberWire Suture, 38 in (Blue) w/Tapered Needle, 26.5 mm, 1/2 circle, 12/box
AR-7200

#2 FiberWire Suture, 38 in (Blue) w/Tapered Needle, 26.5 mm, 1/2 circle, 12/box

SutureTape 1.3 mm, 40 in (White/Blue), With Tapered Ends and Tapered Needle, 26.5 mm 1/2 Circle, 12/Box
AR-7500

SutureTape 1.3 mm, 40 in (White/Blue), With Tapered Ends and Tapered Needle, 26.5 mm 1/2 Circle, 12/Box

SutureTape, x-pattern, 1.3 mm, two each 40 in Strands (1 White/Blue, 1 White/Black), 12/Box
AR-7501

SutureTape, x-pattern, 1.3 mm, two each 40 in Strands (1 White/Blue, 1 White/Black), 12/Box

BioComposite Knotless Corkscrew Anchor, 3.9 mm x 11.2 mm, #5 suture, qty. 5
AR-1941BC

BioComposite Knotless Corkscrew Anchor, 3.9 mm x 11.2 mm, #5 suture, qty. 5

Knotless BioComposite SutureTak Anchor, 3 mm x 12.7 mm, with #2 FiberWire CL Suture, qty. 5
AR-1938BC

Knotless BioComposite SutureTak Anchor, 3 mm x 12.7 mm, with #2 FiberWire CL Suture, qty. 5

Percutaneous Insertion Kit for 3 mm Knotless SutureTak Anchor (Includes: disposable 17-ga spinal needle, 1.1 mm Nitinol Wire, Portal Dilator, Spear, Drills, PEEK Cannula, and Cutter)
AR-1938PK

Percutaneous Insertion Kit for 3 mm Knotless SutureTak Anchor (Includes: disposable 17-ga spinal needle, 1.1 mm Nitinol Wire, Portal Dilator, Spear, Drills, PEEK Cannula, and Cutter)

4.75 mm BioComposite SpeedBridge Implant System w/SCORPION-Multifire Needle Includes two 4.75 mm BioComposite SwiveLock C Anchors w/one Preloaded FiberTape Loop (1 Blue, 1 White/Black) for Medial Row, two 4.75 BioComposite SwiveLock Anchors for Lateral Row, Disposable Punch, and SCORPION-Multifire Needle
AR-2600SBS-8

4.75 mm BioComposite SpeedBridge Implant System w/SCORPION-Multifire Needle Includes two 4.75 mm BioComposite SwiveLock C Anchors w/one Preloaded FiberTape Loop (1 Blue, 1 White/Black) for Medial Row, two 4.75 BioComposite SwiveLock Anchors for Lateral Row, Disposable Punch, and SCORPION-Multifire Needle

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