Editorial Commentary: Even With a High Retear Rate, Shoulder Capsular Reconstruction Outcomes are Promising, But Are We Seeing an Increase in Strength?

Superior capsular reconstruction was developed to restore patient biomechanics for patients with massive irreparable rotator cuff tears that preclude shoulder arthroplasty. Recent studies have shown excellent short-term clinical outcomes and improved pain and functional scores but high rates of complications including retear, loss of fixation, or incomplete healing. An alternative option, reverse total shoulder arthroplasty, is a reliable and safe method to ensure good muscle strength and return to play in this patient group.