APEX Shoulder Mastering Surgical Techniques for Clinical Success-Mumford Procedure: How Much is Enough? Technical Pearls for Success

Mumford Procedure: How Much is Enough? Technical Pearls for Success

Video Transcription

Video Summary

In this video, Dr. Christopher Uggen discusses the Mumford procedure, its outcomes, and technical recommendations. He mentions that the current outcomes measuring systems may not be sensitive enough to pick up the importance of concurrent procedures with a rotator cuff tear. However, there may be a role for arthroscopic distal palpable resections in combination with rotator cuff repair. Dr. Uggen explains his preferences for the arthroscopic procedure, supported by systematic reviews. He also provides technical pearls for success, such as ensuring good visualization in the subacromial space and preserving the posterior superior capsule of the AC joint. Dr. Uggen suggests considering the use of an egg burr instead of a barrel burr for certain aspects of the procedure. The ideal resection for the procedure should be 8-10 mm, including the portion of the medial acromion. He concludes with recommendations on how to assess and approach AC joint hypertrophy. (No credits given)

Asset Caption

Christopher Uggen, MD

Keywords

Mumford procedure

rotator cuff repair

arthroscopic distal resection

technical recommendations

AC joint hypertrophy