Smith TJ, Gowd AK, Kunkel J, et al. - This study was intended to examine the literature reporting biomechanical outcomes of superior capsular reconstruction (SCR) for the treatment of massive and/or irreparable rotator cuff tears. Researchers conducted a systematic review following PRISMA guidelines using PubMed, Medline, and Cochrane databases in August 2020. They evaluated cadaveric studies for glenohumeral translation, subacromial contact pressure, and superior humeral translation comparing SCR to an intact cuff with reference to a torn state control. The analysis enrolled a sum of 15 studies (142 shoulders). Although active glenohumeral compression is diminished relative to the intact rotator cuff, SCR may largely restore static restraints to superior humeral translation with irreparable rotator cuff tears.