APEX Shoulder Mastering Surgical Techniques for Clinical Success-Mobilization for Contracted Tears: Routine Release and Slides, Oh My!

Mobilization for Contracted Tears: Routine Release and Slides, Oh My!

Video Transcription

Video Summary

In this video, Joe Toro from Ocean County Sports Medicine and Rutgers Medical School discusses large and retracted rotator cuff tears and when soft tissue releases are necessary. He explains that the capsule on the cuff stays attached to the insertion even when the tendon tears, causing scarring and contraction that tethers the cuff. However, not all large rotator cuff tears require a release, especially if they are relatively acute. Toro provides a case study of a tear that does not require a release and emphasizes the importance of debriding bad tendon and bursal tissue. He also discusses different types of releases, including superior capsular release, anterior interval release, and double interval release. Toro demonstrates various tear types and explains which repair approach is most suitable. He concludes by showing a repair of a recurrent rotator cuff tear and highlights the importance of removing bursal tissue and reinforcing the repair with ripstop sutures. Overall, the video provides insights into the diagnosis and treatment of rotator cuff tears. Attribution: Joe Toro, Ocean County Sports Medicine and Rutgers Medical School.

Asset Caption

Joseph Tauro, MD

Keywords

rotator cuff tears

soft tissue release

capsular release

bursal tissue

tear repair

ripstop sutures