Editorial Commentary: Finally, Something Positive About the Long Head of the Biceps Tendon?!-Shoulder Superior Capsular Reconstruction.

Abstract

Massive irreparable rotator cuff tears without glenohumeral degeneration in young and active patients remain a challenging clinical problem for shoulder surgeons. Superior capsular reconstruction with fascia lata autograft or dermal allograft has recently become a popular treatment option. The long head of the biceps tendon, which has otherwise widely fallen into disfavor with shoulder surgeons, has recently emerged as an interesting alternative graft choice for superior capsular reconstruction because of its local availability. However, the literature on techniques using the biceps tendon for this purpose is currently limited to a handful of technical, biomechanical, and clinical studies.