APEX Shoulder Mastering Surgical Techniques for Clinical Success-Be the Cuff, See the Cuff! Pre and Intra Operative ID of Tear Shape

Video Transcription

Video Summary

The video focuses on the pre and intraoperative identification of different shapes of rotator cuff tears and the techniques used to repair them. The presenter, Rob Hartzler from TSAOG Orthopedics in San Antonio, discusses various case examples and principles for approaching different types of tears, emphasizing the importance of good visualization and advanced mobilization and reduction techniques. They also emphasize the need for patience and a strong team in successfully repairing challenging tears.<br /><br />The video presents a classification system for rotator cuff tears, including Type 1 crescent-shaped tears, Type 2 longitudinal tears (L-shaped, reverse L, and U-shaped), and massive contracted tears. The presenter describes the characteristics and mobility of each type and offers insights into their repair processes. They highlight the importance of assessing tear mobility during surgery and complementing it with preoperative MRI analysis. The video demonstrates various surgical techniques such as interval slides, subscapularis releases, and different types of repairs like linked double row repair and margin-to-bone repair.<br /><br />The presenter concludes by emphasizing the importance of arthroscopic visualization, careful tear margin assessment, advanced mobilization techniques, and patience in achieving successful rotator cuff repairs.<br /><br />No credits were given in the transcript.

Asset Caption

Robert Hartzler, MD

Keywords

rotator cuff tears

surgical techniques

tear classification

Rob Hartzler

arthroscopic visualization

preoperative MRI

repair techniques