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Journal of Long-Term Effects of Medical Implants
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2019029861
pages 289-295

Superior Capsular Reconstruction for Massive Rotator Cuff Tear with Malunion of the Greater Tuberosity in a Young Patient: A Case Report and Review of the Literature

James Brewster
OhioHealth Doctor's Hospital, Columbus, Ohio
Jacob J. Triplet
OhioHealth Doctors Hospital, Orthopedic Residency Program, Columbus, Ohio
Steven Wiseman
OhioHealth Orthopedic Surgeons, Grant Medical Center, Columbus, Ohio
Nathaniel Long
OhioHealth Orthopedic Surgeons, Grant Medical Center, Columbus, Ohio

ABSTRACT

We describe a 37-year-old female treated with superior capsular reconstruction (SCR) for a nonfunctional rotator cuff in a patient with surgical malunion of the greater tuberosity of the proximal humerus. Despite initially improving, at one year follow-up the patient's acromiohumerual distance had narrowed and pain had increased, resulting in loss of motion. A nonfunctional rotator cuff in the setting of greater tuberosity malunion and superior humeral head migration may not be amenable to SCR.