2021 Annual Meeting Shoulder Access Pass-Questions and Answers: Massive Rotator Cuff

Questions and Answers: Massive Rotator Cuff

Video Transcription

Video Summary

The panel discussed treatment options for massive rotator cuff tears, comparing the in-space subacromial balloon spacer to partial repairs, considered the historical gold standard. Irreparability was surgeon-determined based on tear size, morphology, and muscle atrophy. The spacer device typically resorbs by 12 months without causing joint damage or chondrolysis. Better outcomes occurred in patients over 65 with lower physical demands seeking pain relief rather than strength improvement. Hypotheses for improved scores include the spacer effect reducing humeral head contact and potential pain modulation. Patient selection remains crucial for optimal results in these shoulder interventions.

Asset Caption

Nikhil Verma, MD; Ian Lo, MD; Riccardo Compagnoni, MD; Gillian Kane, BS

Keywords

massive rotator cuff tears

in-space subacromial balloon spacer

partial rotator cuff repairs

irreparability criteria

patient selection in shoulder treatment