APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-The Partial-Thickness Cuff: In Situ Repair

Video Transcription

Video Summary

In this video, Paul Sethi discusses partial thickness rotator cuff tears. He highlights the challenges and controversies surrounding the treatment of these tears, as well as the lack of good data to guide treatment decisions. Sethi explains that partial thickness tears can occur on the articular side, the bursal side, or be intratendinous, each requiring different management strategies. He discusses the 50% rule for repairing partial thickness articular tears based on the strain placed on the tendon. Sethi also explores treatment options such as debridement, decompression, and repair, emphasizing the importance of considering patient age and pathology. He shares his techniques for arthroscopic repair, including bursal- and articular-sided tears, and touches on the management of these tears in athletes. The video concludes with Sethi providing key takeaways for managing partial thickness rotator cuff tears.

Asset Caption

Paul Sethi, M.D.

Keywords

partial thickness rotator cuff tears

challenges and controversies

treatment decisions

management strategies

50% rule