Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium (2021 Annual Meeting)-Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium-Tauro

Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium-Tauro

Video Transcription

Video Summary

In the video, the speaker discusses different types of large rotator cuff tears and their treatment options. He defines a large tear as three tendons torn (subscapularis, supraspinatus, and infraspinatus) or a tear involving two tendons, either posterior-superior or anterior-superior tears. He emphasizes that posterior-superior tears are the most common. He also mentions a classification system for rotator cuff tears based on MRI images.<br /><br />The speaker presents three case studies to illustrate different treatment approaches. The first case is a 55-year-old with a full-thickness tear who failed conservative treatment. The speaker chooses to repair the tear instead of conservatively treating. The second case is a 60-year-old with a large tear and tendon remnants on the tuberosity. The speaker performs an interval release and repair of the tear, considering a patch and bone marrow aspirate concentrate (BMAC) for added support. The third case involves a 68-year-old with a massive tear. The speaker performs an anterior interval release, repairs the tear, and discusses the use of biceps tendon in the repair.<br /><br />The speaker emphasizes the importance of assessing the tear intraoperatively, using pre-op MRI as a guide, and debriding the bursa to ensure a complete view of the tear. They also discuss the potential use of patches and augmentation techniques. The speaker concludes by stating that partial repairs can be effective in improving patient outcomes, especially in cases where the tendon is mobile but there is instability due to a large tear.

Asset Caption

Dr. Joseph C. Tauro

Keywords

large rotator cuff tears

treatment options

posterior-superior tears

case studies

tear repair

tendon remnants

pre-op MRI