2023 Annual Meeting Knee Access Pass-RCR Failure, Now What? My Approach to Management of Complex Revision Rotator Cuff Tears

RCR Failure, Now What? My Approach to Management of Complex Revision Rotator Cuff Tears

Video Transcription

Video Summary

Dr. Gabrielle O'Day discusses managing massive anterior superior rotator cuff tears, emphasizing the critical role of the subscapularis, which comprises over half of rotator cuff muscles. She explains tear classifications, clinical signs, and challenges in MRI diagnosis. Surgical repair prioritizes fixing the subscapularis first, with techniques including single or double row arthroscopic repair or open repair for retracted tears. Key steps include thorough soft tissue release and careful suture placement to avoid overtightening. Post-op rehab varies by tear type, with stricter protection for more extensive tears. Restoration of subscapularis function is vital to improve outcomes and reduce rerupture risk.

Asset Caption

Gabriella Ode, M.D.

Keywords

anterior superior rotator cuff tears

subscapularis function

rotator cuff tear classification

arthroscopic rotator cuff repair

postoperative rehabilitation