APEX Shoulder Mastering Surgical Techniques for Clinical Success-Partial Thickness Tears: Articular and Bursal Sided. Techniques to Keep It, Cut It, or Patch It

Partial Thickness Tears: Articular and Bursal Sided. Techniques to Keep It, Cut It, or Patch It

Video Transcription

Video Summary

In this video, Dr. Lewis McIntyre discusses the topic of partial thickness rotator cuff tears and the techniques used to treat them in 2020. He explains that rotator cuff disease is an age-related phenomenon that affects the enthesis, leading to tendonitis, fibrosis, and eventual tearing. Factors such as occupation, activity, and trauma can also contribute to the degeneration of the tendon. Dr. McIntyre emphasizes that rotator cuff tears are both a biologic and mechanical problem, requiring treatment modalities that address both aspects. Traditional treatments such as debridement and acromioplasty have been found to be ineffective, and new tissue formation is necessary for healing. He discusses the use of a bio-inductive implant made of purified bovine collagen to induce new tissue formation in partial thickness tears. Several studies have shown positive results with this technique, with improved patient outcomes and reduced morbidity. The implant can also be used in cases of bursal-sided tears, calcifying tendonitis, and massive tears. Dr. McIntyre concludes by suggesting patch augmentation as a possible treatment option for partial thickness tears that are resistant to conservative treatment. Overall, this video highlights the importance of addressing both the biological and mechanical components of rotator cuff tears in order to improve patient outcomes.

Asset Caption

Louis McIntyre, MD

Keywords

rotator cuff tears

bio-inductive implant

partial thickness tears

tendon degeneration

patch augmentation