AANA/SOMOS Enduring Shoulder Program 2024-Technique Video: Re-routing the Biceps in Irreparable Rotator Cuff Tears

Technique Video: Re-routing the Biceps in Irreparable Rotator Cuff Tears

Video Transcription

Video Summary

Dr. Larry Field discusses a technique for treating massive rotator cuff tears using the biceps tendon as augmentation. These tears are challenging due to retraction and inelasticity. Their method involves mobilizing the biceps tendon without cutting it, relocating it to the greater tuberosity to serve as a convergence post, offloading tension and providing static and dynamic stability. Results over an average three-year follow-up showed improved shoulder function and reduced retear rates. Studies confirm the biceps' usefulness, offering a thick, local, vascularized graft that reduces surgical complexity and enhances repair durability. The approach represents a valuable advancement in shoulder surgery.

Asset Caption

(Larry D. Field, M.D., FAANA)

Keywords

massive rotator cuff tears

biceps tendon augmentation

shoulder surgery technique

rotator cuff repair stability

biceps tendon mobilization