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 reduced 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 reduced 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

Superior Capsular Reconstruction (SCR): 2018 Technique Evolution

Stephen S. Burkhart, MD
Surgical Technique Videos | 30:44 | English | 08/16/2018 | VID1-01255-EN A

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
Surgical Technique Animations | 03:52 | English | 03/13/2019 | AN1-00530-en-US A
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?
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
Surgical Technique Guides | English | 09/20/2022 | LT1-00020-EN D
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Surgical Technique Videos (4)

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
Christopher Adams, MD
08:08 | English | 03/26/2018 | VID1-00903-EN B
Superior Capsular Reconstruction (SCR)
Stephen S. Burkhart, MD
22:38 | English | 01/12/2017 | VID1-00875-EN A
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
03:52 | English | 03/13/2019 | AN1-00530-en-US A

Surgical Technique Guides (1)

Brochures (2)

Case Presentation Videos (4)

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
Joel J.A. Lobo, MD, FRCSC
05:26 | English | 07/23/2020 | VID1-000794-en-US B
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
Brian J. Cole, MD, MBA
09:00 | English | 08/09/2019 | VID1-000049-en-US B

Outcomes Reports (1)

Superior Capsular Reconstruction (SCR) Outcomes
English | 06/01/2020 | CC1-00016-EN L

Patient Education Animations (1)

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

Presentation Videos (16)

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
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)
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
Stephen S. Burkhart, MD
11:27 | English | 12/14/2018 | VPT1-01106-EN A
Superior Capsular Reconstruction With ArthroFLEX® Graft: Does the Graft Heal?
Stephen S. Burkhart, MD
04:07 | English | 05/02/2018 | VPT1-00723-EN C
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
Teruhisa Mihata, MD, PhD
Presentation Videos | 10:12 | English | 09/06/2017 | VPT1-00506-EN B
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
Stephen S. Burkhart, MD
Presentation Videos | 22:01 | English | 09/16/2016 | VPT1-00696-EN A
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
Stephen S. Burkhart, MD
Presentation Videos | 29:40 | English | 02/03/2016 | VID1-00689-EN A
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
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
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
Gautam P. Yagnik, MD
04:26 | English | 06/19/2020 | VID1-001063-en-US A
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
English | 12/11/2020 | DOC1-000394-en-US B

Video Series (1)

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

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