{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:33:17Z","timestamp":1785418397876,"version":"3.56.0"},"reference-count":45,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Irreparable massive rotator cuff tear (IMRCT) is a significant challenge in shoulder surgery, with traditional treatments yielding suboptimal outcomes. Superior Capsular Reconstruction (SCR), an innovative arthroscopic joint-preserving procedure, provides a new solution for IMRCT by restoring superior glenohumeral joint stability.Methods: This narrative review systematically searched PubMed, Web of Science, Embase and Cochrane Library for arthroscopic SCR studies using the terms \u201csuperior capsular reconstruction\u201d, \u201cirreparable massive rotator cuff tear\u201d, \u201carthroscopy\u201d and \u201cgraft material\u201d. The search covered 2013 (the first SCR report) to 2025. Peer-reviewed English full-text articles were included, and duplicate, low-quality and irrelevant literatures were excluded. Finally, 45 high-quality studies (clinical cohort, biomechanical experiments, systematic reviews) were selected to analyze SCR advances in indications, graft selection, surgical techniques and rehabilitation.Results: SCR effectively improves shoulder function, alleviates pain and increases acromiohumeral distance (AHD) in IMRCT patients without severe glenohumeral arthritis. Tensor fascia lata autograft has the best long-term survival but donor-site morbidity risk; acellular dermal matrix allograft avoids donor-site injury but has high cost and slow integration; long head of the biceps tendon autograft is ideal for small-to-medium tears due to minimal invasiveness and cost-effectiveness. Hamstring and peroneus longus tendon grafts have specific clinical applications.Conclusion: SCR is an effective IMRCT treatment, with individualized graft selection based on patient conditions, cost-effectiveness and regional availability being critical. Future research should establish SCR technical standards, evaluate long-term outcomes, refine patient selection and explore biologic augmentation and 3D-engineered grafts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.160843","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:01:16Z","timestamp":1777590076000},"source":"Crossref","is-referenced-by-count":0,"title":["Advances in Arthroscopic Superior Capsular Reconstruction of the Shoulder: A Narrative Review"],"prefix":"10.52965","volume":"18","author":[{"given":"Tao","family":"Xiong","sequence":"first","affiliation":[{"name":"Hebei North University, Zhangjiakou, Hebei Province, P.R. China"},{"name":"Xingtai People's Hospital, Xingtai, Hebei Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hebei North University, Zhangjiakou, Hebei Province, P.R. China"},{"name":"Xingtai People's Hospital, Xingtai, Hebei Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yibo","family":"Li","sequence":"additional","affiliation":[{"name":"Xingtai People's Hospital, Xingtai, Hebei Province, P.R. China"},{"id":[{"id":"https:\/\/ror.org\/0284jzx23","id-type":"ROR","asserted-by":"publisher"}],"name":"Chengde Medical University, Chengde, Hebei Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Wu","sequence":"additional","affiliation":[{"name":"Xingtai People's Hospital, Xingtai, Hebei Province, P.R. China"},{"id":[{"id":"https:\/\/ror.org\/0284jzx23","id-type":"ROR","asserted-by":"publisher"}],"name":"Hebei Medical University, Shijiazhuang, Hebei Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LiLi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Xingtai People's Hospital, Xingtai, Hebei Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2420","DOI":"10.1016\/j.arthro.2021.04.003","article-title":"Modified Superior Capsule Reconstruction Using the Long Head of the Biceps Tendon as Reinforcement to Rotator Cuff Repair Lowers Retear Rate in Large to Massive Reparable Rotator Cuff Tears","volume":"37","author":"C. H. Chiang","year":"2021","journal-title":"Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1241","DOI":"10.1016\/j.jse.2018.12.015","article-title":"A biomechanical cadaveric study of patellar tendon allograft as an alternative graft material for superior capsule reconstruction","volume":"28","author":"W. P. Croom","year":"2019","journal-title":"Journal of shoulder and elbow surgery"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1016\/j.jse.2020.08.020","article-title":"Superior capsular reconstruction using a porcine dermal xenograft for irreparable rotator cuff tears: outcomes at minimum two-year follow-up","volume":"30","author":"A. Ferrando","year":"2021","journal-title":"Journal of shoulder and elbow surgery"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jseint.2023.08.020","article-title":"Arthroscopic superior capsule reconstruction augmentation using a semitendinosus autograft in massive reparable rotator cuff tears","volume":"8","author":"T. Funakoshi","year":"2024","journal-title":"JSES international"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"4559","DOI":"10.1007\/s00167-023-07489-7","article-title":"Superior capsular reconstruction using the long head of the biceps to treat massive rotator cuff tears improves patients shoulder pain, mobility and function","volume":"31","author":"Q. Gao","year":"2023","journal-title":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e48","DOI":"10.1016\/j.jse.2022.07.010","article-title":"Structural and clinical outcomes after superior capsule reconstruction using an at least 6-mm-thick fascia lata autograft including the intermuscular septum","volume":"32","author":"A. 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Pashuck","year":"2021","journal-title":"Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e0283309","DOI":"10.1371\/journal.pone.0283309","article-title":"The effects of upper body blood flow restriction training on muscles located proximal to the applied occlusive pressure: A systematic review with meta-analysis","volume":"18","author":"K. Pavlou","year":"2023","journal-title":"PloS one"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e489","DOI":"10.1016\/j.asmr.2020.05.011","article-title":"Superior Capsular Reconstruction Using 3-layered Fascia Lata Autograft Reinforced with a Nonresorbable Suture Mesh","volume":"2","author":"M. 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Bi","year":"2023","journal-title":"Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1016\/j.jseint.2021.04.013","article-title":"Load-to-failure characteristics of patellar tendon allograft superior capsule reconstruction compared with the native superior capsule","volume":"5","author":"S. M. Boydstun","year":"2021","journal-title":"JSES international"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/j.arthro.2019.08.035","article-title":"Superior Capsular Reconstruction for the Operatively Irreparable Rotator Cuff Tear: Clinical Outcomes Are Maintained 2 Years After Surgery","volume":"36","author":"S. S. Burkhart","year":"2020","journal-title":"Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.clinimag.2020.10.026","article-title":"MRI of superior capsular reconstruction graft and associated short-term clinical outcomes in patients with massive irreparable rotator cuff tears","volume":"70","author":"A. L. Campbell","year":"2021","journal-title":"Clinical imaging"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/160843-advances-in-arthroscopic-superior-capsular-reconstruction-of-the-shoulder-a-narrative-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:02:21Z","timestamp":1777590141000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/160843-advances-in-arthroscopic-superior-capsular-reconstruction-of-the-shoulder-a-narrative-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":45,"URL":"https:\/\/doi.org\/10.52965\/001c.160843","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}