What is superior capsular reconstruction (SCR)?
The shoulder capsule is an important stabilizer of the ball and socket joint of the shoulder (called the glenohumeral joint). The superior capsule is the upper part of this stabilizing tissue that lines the shoulder joint. Superior capsular reconstruction (SCR) is a recently developed surgery technique for treating massive, irreparable rotator cuff tears. During this procedure, Dr. Nikhil Verma uses a cadaver skin graft (called a dermal allograft) to recreate the upper capsule of the shoulder.
The skin graft is attached or anchored between the upper end of the shoulder socket (glenoid) and the upper end of the humeral head (arm bone). The graft restores mechanical balance to the shoulder joint and allows the remaining portion of the rotator cuff to continue to function. After SCR patients are able to lift and move their arm with less pain.