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In the last 5 years there has been nothing short of a revolution in the treatment of massive irreparable rotator cuff tears. These are the worst kind of rotator cuff tear, and historically had few options for treatment. Superior capsule reconstruction a very good outcome possible in these very challenging cases. This surgery is typically done through small incisions—about as wide as a thumbnail. During this surgery, the top of the socket of the shoulder is connected to the bone of the humerus with a graft material. This is then connected to tendons in the back of the shoulder. Patients typically go home on the same days as their surgery. The repair is fragile, so patients need to protect it while it heals and wear a sling for 2 months. Physical therapy is essential for a good outcome. Contact Hamilton Bone & Joint Clinic at hamiltonboneandjoint.com or 218-444-8881.