Patch-Augmented Rotator Cuff Repair and Superior Capsule Reconstruction

M. Petri1, 2, *, J.A. Greenspoon1, S.G. Moulton1, P.J. Millett1, 2
1 Steadman Philippon Research Institute 181 West Meadow Drive suite 1000 Vail, CO, 81657, USA
2 The Steadman Clinic 181 West Meadow Drive Vail, CO, 81657, USA

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© Petri et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Steadman Philippon Research Institute 181 West Meadow Drive, Suite 1000 Vail, CO, 81657, USA; E-mail:



Massive rotator cuff tears in active patients with minimal glenohumeral arthritis remain a particular challenge for the treating surgeon.


A selective literature search was performed and personal surgical experiences are reported.


For patients with irreparable rotator cuff tears, a reverse shoulder arthroplasty or a tendon transfer are often performed. However, both procedures have rather high complication rates and debatable long-term results, particularly in younger patients. Therefore, patch-augmented rotator cuff repair or superior capsule reconstruction (SCR) have been recently developed as arthroscopically applicable treatment options, with promising biomechanical and early clinical results.


For younger patients with irreparable rotator cuff tears wishing to avoid tendon transfers or reverse total shoulder arthroplasty, both patch-augmentation and SCR represent treatment options that may delay the need for more invasive surgery.

Keywords: Joint-preserving surgery, massive rotator cuff tear, patch-augmentation, rotator cuff repair, rotator cuff tear, superior capsule reconstruction.