AANA19 Shoulder Access Pass-Blarney! The Balloon ‘Rises Above’ Other Options-Dr. Scott Trenhaile, M.D.

Blarney! The Balloon ‘Rises Above’ Other Options-Dr. Scott Trenhaile, M.D.

Video Transcription

Video Summary

The presentation discusses the biodegradable subacromial balloon spacer used for irreparable rotator cuff tears. Placed arthroscopically, it maintains humeral head position and reduces friction, lasting about three months and degrading within a year. Early studies show improved outcomes, strength, and low complication rates over several years. Biomechanical studies reveal the balloon effectively depresses the humeral head similarly to superior capsular reconstruction. It may also protect repaired tendons by reducing pressure. A major ongoing North American randomized trial will further clarify its efficacy and indications. Overall, this simple, safe, and minimally invasive option shows promise for low-demand or at-risk patients.

Keywords

biodegradable subacromial balloon spacer

irreparable rotator cuff tears

arthroscopic placement

humeral head depression

randomized clinical trial