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Minimum 2\u2010year follow\u2010up was obtained for 32 patients (80% follow\u2010up). Patient demographics and preoperative clinical findings were collected. Postoperative data, including complications, patient satisfaction, strength and range\u2010of\u2010motion (ROM), and patient\u2010reported outcomes were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Hamada score was \u22642 in 88% with average acromiohumeral interval distance of 6.8 mm. Preoperatively, 6 patients had external rotation lag (19%) and 6 had pseudoparalysis (19%). Intraoperative assessment of the subscapularis demonstrated true insufficiency in 38%. There was significant improvement in forward elevation (FE) (31\u00b0 increase;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .007) and strength in all planes (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). Patient\u2010reported outcomes significantly improved (American Shoulder and Elbow Surgeon [ASES] 34\u2010point increase; visual analog scale [VAS] 2.9\u2010point decrease; single alpha\u2010numeric evaluation [SANE] 48\u2010point increase; all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). Twenty\u2010six patients (81%) were completely or somewhat satisfied with surgery. At time of final follow\u2010up, 3\/32 patients (9%) failed SCR and converted to reverse total shoulder arthroplasty. There were 4 (13%) reported complications (2 patients had postoperative falls; 1 patient had persistent severe pain; 1 had persistent stiffness). One patient was deceased. Patients with pseudoparalysis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0= 6) had significant improvement in post\u2010operative FE (28 vs 154\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001) and SANE score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .016) with 66% patient satisfaction. However, outcome scores overall remained lower than SCR without pseudoparalysis. Regarding subscapularis insufficiency (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0= 12), significant improvement was seen in postoperative FE (108 vs 158\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .019) and patient\u2010reported outcome scores (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .005). In patients converted from SCR to reverse total shoulder arthroplasty (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0= 3), there were no distinguishing characteristics present.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Superior capsular reconstruction is an effective salvage operation for massive irreparable RCT. Patients with pseudoparalysis or subscapularis insufficiency demonstrate significant postoperative improvement in FE and patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>IV, retrospective cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.05.018","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T13:00:55Z","timestamp":1622120455000},"page":"253-261","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Superior Capsular Reconstruction: A Salvage Option for Massive Irreparable Rotator Cuff Tears with Pseudoparalysis or Subscapularis Insufficiency"],"prefix":"10.1002","volume":"38","author":[{"given":"Marisa N.","family":"Ulrich","sequence":"first","affiliation":[{"name":"Ohio State University Wexner Medical 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