Non-Arthroplasty Management of Rotator Cuff Tears (AANA25)-Optimal Non-Arthroplasty Management of Massive Irreparable Rotator Cuff Tears: A Case-Based Approach

Video Transcription

Video Summary

The video focuses on a discussion among medical professionals about various treatment options for irreparable massive rotator cuff tears. The panel includes experts Sara Edwards, Eric Wagner, Ivan Wong, and Albert Lin, who discuss and present their individual approaches and insights into treating such conditions. <br /><br />The session begins with Sara Edwards explaining her approach using the long head of the biceps in superior capsular reconstruction (SCR), highlighting its resurgence and positive outcomes. She discusses its benefits over traditional options like reverse shoulder surgeries, especially in younger patients who are more active and have less shoulder arthritis.<br /><br />Albert Lin follows by discussing the importance of partial repair and debridement as a cost-effective gold standard to compare against newer, more complex procedures. He analyzes various treatment options including tendon transfers and the subacromial balloon, stressing the need for more high-quality studies to determine the best practices in rotator cuff repairs.<br /><br />Ivan Wong and Eric Wagner then share their experiences with allograft bridge augmentation and tendon transfers, respectively. Wong emphasizes bridging reconstruction's ability to preserve muscle strength and prevent progression into arthritis, while Wagner focuses on the lower trapezius tendon transfer to address poor muscle conditions and its benefits over other techniques such as SCR, especially in younger patients with good muscle but poor tendons.<br /><br />The panel uses case studies, audience interactions, and technical insights to illustrate their points. They emphasize practical considerations like patient functionality, muscle quality, and cost when deciding on the most appropriate surgical intervention for irreparable rotator cuff tears.

Asset Caption

Albert Lin, M.D. | Ivan H. Wong, M.D., FAANA | Sara L. Edwards, M.D. | Eric R. Wagner, M.D., M.S.

Keywords

irreparable massive rotator cuff tears

superior capsular reconstruction

Sara Edwards

Albert Lin

partial repair

tendon transfers

subacromial balloon

allograft bridge augmentation

lower trapezius tendon transfer

muscle quality

surgical intervention