Superior capsular reconstruction is a surgical treatment option for massive, irreparable rotator cuff tears. Dr. Reza Jazayeri, a double board-certified orthopedic surgeon specializing in sports medicine, performs this procedure to help restore the native biomechanics of the glenohumeral joint. The technique creates a passive restraint to superior subluxation by reconstructing the superior capsule.
Patients in Los Angeles and surrounding communities including Beverly Hills can access this advanced shoulder procedure. Dr. Jazayeri completed his sports medicine fellowship at the Kerlan-Jobe Orthopaedic Clinic, bringing specialized training to every superior capsular reconstruction he performs.
Superior Capsular Reconstruction Overview
Superior capsular reconstruction addresses a specific mechanical problem in the shoulder. When the rotator cuff tendons tear beyond repair, the humeral head can migrate upward, causing pain and loss of function. The procedure uses a graft, often a dermal allograft, to recreate the superior capsule.
This stabilizes the humeral head and restores the force couples necessary for dynamic shoulder function. Dr. Jazayeri performs the procedure arthroscopically, which supports a minimally invasive approach.
Partial rotator cuff repair can be combined with superior capsular reconstruction when some tendon tissue remains viable. This combined approach has been shown to recreate shoulder kinematics more effectively than either technique alone.
Who Can Benefit From Superior Capsular Reconstruction
Candidates for superior capsular reconstruction typically have massive rotator cuff tears that cannot be fully repaired through traditional methods. These patients often experience significant shoulder pain and weakness that has not responded to conservative treatment. Individuals who have had previous unsuccessful surgical interventions may also be considered.
Dr. Jazayeri evaluates each patient carefully before recommending this procedure. His clinical approach starts with non-surgical options first, including therapy and injections. When those measures do not provide adequate relief, superior capsular reconstruction becomes a consideration.
Age, overall health, and the specific characteristics of the tear all factor into the decision. Patients in the Greater Los Angeles area can receive this evaluation.
Surgical Techniques Used In Superior Capsular Reconstruction
The procedure is performed arthroscopically through small incisions around the shoulder joint. Dr. Jazayeri attaches a graft material to the glenoid and the humeral head, effectively recreating the superior capsule that was lost to injury. This graft serves as a passive restraint, preventing the humeral head from migrating superiorly during arm movement.
The technique restores the balanced force couples that the rotator cuff normally provides. When appropriate, Dr. Jazayeri incorporates his Bio-Fertilization Technique, a surgical framework combining biologic augmentation, intraosseous modulation, and metabolic optimization.
This approach reflects his broader commitment to musculoskeletal longevity and healthspan. His minimally invasive surgical techniques are applied consistently across shoulder procedures at both Los Angeles and Westlake Village locations.
Recovery Timeline After Superior Capsular Reconstruction
Recovery after superior capsular reconstruction follows a structured progression. The initial phase involves a period of immobilization to protect the surgical repair. Most patients wear a sling for approximately six weeks.
Full recovery and return to unrestricted activities often takes 8 to 12 months, though individual timelines vary. Dr. Jazayeri prepares patients for surgery with prehabilitation, a structured pre-surgical conditioning program built into the preparation process. He also uses preoperative lab testing to assess Vitamin D levels, inflammatory markers, hormone status, and muscle health.
Targeted supplementation is provided as needed, an approach backed by his own peer-reviewed research. This metabolic optimization supports the body’s healing capacity throughout the recovery period.
Rehabilitation Strategies Following Superior Capsular Reconstruction
Rehabilitation begins gently and progresses in phases under guided supervision. Early physical therapy focuses on passive range of motion while the graft heals.
As healing progresses, active-assisted exercises are introduced. These help restore movement while protecting the graft.
Strengthening comes later, once the reconstruction has achieved sufficient stability. Dr. Jazayeri partners with myHealthTrack to offer a digital rehab program, giving patients remote access to recovery guidance. This complements in-person therapy sessions and helps patients stay on track between visits.
His recovery optimization approach addresses sleep, rehabilitation, and nutrition as interconnected elements of healing. Patients across California can access virtual consultations to discuss their rehabilitation progress without traveling to the Los Angeles office.
Expected Outcomes Of Superior Capsular Reconstruction
Superior capsular reconstruction can significantly improve shoulder function and reduce pain in appropriately selected patients. The procedure aims to restore overhead reach and rotational strength that were compromised by the rotator cuff tear. By stabilizing the humeral head within the glenoid, the reconstruction creates a mechanical environment that allows the remaining shoulder muscles to function more effectively.
Results depend on multiple factors including tear pattern, tissue quality, and adherence to the rehabilitation protocol. Dr. Jazayeri’s approach treats every patient with the same level of care and attention he would give to his own family and friends. His practice serves patients from Beverly Hills and throughout the Greater Los Angeles area with this patient-centered philosophy guiding every treatment decision.
Collarbone Fractures (Clavicle Fractures):
Open Reduction Internal Fixation With a Plate and Suture Implant Animation
This animated video demonstrates the use of a plate, screws, and suture button implant to repair a break in the collarbone.
Watch: Arthrex® Distal Clavicle Fracture Repair Using Coracoid Fixation
Frequently Asked Questions About Superior Capsular Reconstruction
-
Superior Capsular Reconstruction (SCR) is a surgical procedure designed to treat massive rotator cuff tears that cannot be repaired through traditional methods. It uses a graft to recreate the superior capsule of the shoulder, stabilizing the joint and restoring its function.
-
Candidates for SCR typically have significant shoulder pain and weakness due to irreparable rotator cuff tears. Those who have not found relief from conservative treatments or previous surgeries may also be considered for this procedure.
-
Recovery after SCR involves a structured timeline, starting with immobilization for about six weeks. Full recovery can take 8 to 12 months, with rehabilitation focusing on gradually increasing strength and mobility under professional guidance.
-
Dr. Reza Jazayeri is a double board-certified orthopedic surgeon with over 15 years of experience in sports medicine. His specialized training and patient-centered approach ensure that each patient receives personalized care personalized to their specific needs.
-
Yes, virtual consultations are available for patients across California and beyond. This allows you to discuss your shoulder condition and treatment options with Dr. Jazayeri without needing to travel to the office.
Why Choose Us For Superior Capsular Reconstruction?
When it comes to superior capsular reconstruction, experience matters. Dr. Reza Jazayeri is a double board-certified orthopedic surgeon with over 15 years of experience.
He specializes in shoulder care and has performed numerous successful procedures. His training at the Kerlan-Jobe Orthopaedic Clinic ensures you receive quality care that meets your needs.
We focus on minimally invasive techniques that promote quicker recovery. Dr. Jazayeri uses advanced methods like the Bio-Fertilization Technique to enhance healing.
He believes in exploring non-surgical options first, ensuring you get the best treatment plan for your situation. Patients from Los Angeles and surrounding areas can trust his commitment to their health and well-being.
Meet Dr. Reza Jazayeri
Dr. Reza Jazayeri specializes in sports medicine with expertise in shoulder, knee, and elbow injuries. A Southern California native, Dr. Jazayeri combines an engineering background with elite surgical training, completing his orthopedic surgery residency at the nationally ranked NYU Hospital for Joint Diseases and a sports medicine fellowship at the renowned Kerlan-Jobe Orthopaedic Clinic.
After more than 15 years caring for patients within the Southern California Permanente Medical Group, Dr. Jazayeri joined DOCS Health to expand a practice focused on personalized orthopedic and sports medicine care and surgical excellence. As Director of Longevity at DOCS Health, he leads the development and implementation of optimization protocols and regenerative medicine strategies designed to improve long-term musculoskeletal health and extend healthspan.
His published work includes a 2026 coauthored review of nutritional optimization in spine surgery in the Journal of the American Academy of Orthopaedic Surgeons. View Dr. Jazayeri’s research publications and training.
Dr. Jazayeri is one of the best surgeons I’ve ever had. Last year I fell on my left shoulder and damaged it so badly that the only option was a total reverse shoulder replacement. After consulting with Dr. Jazayeri, he explained the procedure and also the follow-up issues. He didn’t sugar coat anything but said he was confident he could take away my pain and restore almost all of my shoulder motion. He delivered exactly as he had promised. I also took his advice and did the amino acid regimen as part of my recovery. I’m so lucky to have had him as my surgeon for this procedure. Thank you, Dr. Jazayeri, so much.
Schedule Your Consultation For Superior Capsular Reconstruction
If you have a massive rotator cuff tear and want to learn whether superior capsular reconstruction is right for you, schedule a consultation with Dr. Reza Jazayeri. As a double board-certified orthopedic surgeon with fellowship training from the Kerlan-Jobe Orthopaedic Clinic, he brings specialized expertise to complex shoulder conditions. His practice in Los Angeles offers convenient access for patients throughout Southern California.
Virtual consultations are available for patients across California and beyond. Call the office in Los Angeles to book your appointment and discuss your shoulder treatment options.
Medically reviewed by Reza Jazayeri, M.D. on
