APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Rotator Cuff

Video Transcription

Video Summary

In the presented session, panelists discuss various approaches and technical considerations in shoulder repair, focusing on rotator cuff and subscapularis tears. The session emphasizes routine cases, often complex, that professionals encounter in daily practice. The first case involves a 57-year-old carpenter with shoulder issues diagnosed with a rotator cuff tear. Panelists recommend surgery to ensure long-term functional restoration, discussing techniques such as medialization and single vs. double-row repairs.<br /><br />The second case features a 60-year-old male with an acute subscapularis tear. Experts suggest immediate surgical repair, highlighting different arthroscopic approaches. Important technical steps include interval capsule excision, coracoid tip debridement, and careful suturing. The panel also discusses managing tear reducibility, the significance of the comma tissue, and avoiding axillary nerve injury.<br /><br />Throughout, the importance of adapting surgical techniques to specific tear characteristics is underscored, emphasizing tension management and proper suture techniques. Panelists agree on the necessity of understanding individual cases to determine the most effective repair strategies.

Asset Caption

Moderator: Larry Field, M.D.
Panel: Dann Byck, M.D., Steven DeFroda, M.D., Fernando Hernandez-Perez, M.D.

Keywords

shoulder repair

rotator cuff tear

subscapularis tear

surgical techniques

arthroscopic approaches

tension management