2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis

Debate Introduction: 55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis

Video Transcription

Video Summary

This presentation discusses a 50-55-year-old female with a two-year history of an atraumatic massive rotator cuff tear, causing pseudoparalysis and severe right shoulder pain unrelieved by conservative treatments, including steroid injections and physical therapy. Physical exam shows limited active forward flexion, muscle atrophy, and weakness particularly in the infraspinatus, with preserved passive motion. MRI reveals significant retraction and atrophy of the supraspinatus and infraspinatus. Treatment options will be reviewed: Dr. John Kelly will discuss repair, Dr. Taru Mihata will cover superior capsule reconstruction (SCR), and Dr. Basam El-Hassan will present the lower trapezius transfer.

Asset Caption

Jonathan B. Ticker, M.D., FAANA & Ivan H. Wong, M.D., FAANA

Keywords

massive rotator cuff tear

pseudoparalysis

shoulder pain

superior capsule reconstruction

lower trapezius transfer