2022 Specialty Day All-Access Pass-Session IX: Shoulder/Rotator Cuff

Video Transcription

Video Summary

In the video, multiple surgical options for managing complex shoulder problems, specifically instability, rotator cuff repair, and massive rotator cuff tears, were discussed. The first presenter highlighted the use of biologic collagen implants and dermal allografts to improve tendon thickness and aid in healing during cuff repairs. The effectiveness of these augmentation techniques was demonstrated through case studies. The next presenter discussed the use of lower trap transfers as a treatment option for irreparable cuff tears, providing durable motion restoration and pain relief. Patient selection was emphasized as a crucial factor for this procedure. Superior capsule reconstruction (SCR) was focused on by the next presenter, considering factors like arthritis and patient age to determine the appropriate treatment option. Long-term results and potential complications of reverse shoulder replacements were also discussed. Balloon spacers were mentioned as a short-term solution for managing massive irreparable cuff tears, with caution for its selective use rather than a universal solution. Throughout the video, the surgeons engaged in a conversation about the different treatment options, including tendon transfer, balloon implantation, dermal augmentation, subscapular transfer, and SCR, for rotator cuff tears. They debated the indications and factors to consider for each procedure, sharing their experiences and discussing outcomes to find the most effective and personalized treatment for individual patients and their specific needs.

Asset Caption

Moderators: Vani Sabesan, M.D., Paul E. Caldwell, M.D., FAANA
Speakers: Michael J. O'Brien, M.D., FAANA; Brian J. Cole, M.D., M.B.A., FAANA; Grant E. Garrigues, M.D.; John M. Tokish, M.D., FAANA; Joseph A. Abboud, M.D.; Robert U. Hartzler, M.D., M.S.; Louis F. McIntyre, M.D., FAANA; Larry D. Field, M.D., FAANA; Mary K. Mulcahey, M.D., FAANA

Keywords

surgical options

shoulder problems

rotator cuff repair

massive rotator cuff tears

biologic collagen implants

lower trap transfers

irreparable cuff tears

superior capsule reconstruction

reverse shoulder replacements

tendon transfer