AANA19 Shoulder Access Pass-Panel Discussion_ Lucha Libre_ Rapid Fire Cuff Cases-Dr. John M. Tokish, M.D.

Panel Discussion_ Lucha Libre_ Rapid Fire Cuff Cases-Dr. John M. Tokish, M.D.

Video Transcription

Video Summary

In this expert panel discussion, orthopedic surgeons address complex rotator cuff tear cases, sharing insights on diagnosis, treatment options, and surgical techniques. They emphasize understanding tear anatomy, noting that some seemingly severe tears are easier to repair if properly assessed. Strategies include partial or full cuff repair, use of biologic scaffolds like bovine collagen, and augmentation with dermal matrices. The panel debates the role of biologics such as PRP and umbilical cord materials, expressing cautious optimism but urging more science. Approaches differ based on patient factors like age, tear chronicity, and muscle quality; options range from primary repair, scaffold augmentation, superior capsular reconstruction (SCR), to tendon transfers or reverse shoulder arthroplasty in severe cases. Innovative ideas include using the biceps tendon to reinforce repairs. Ultimately, the consensus favors tailored treatments informed by imaging, patient symptoms, and intraoperative findings, balancing restoration of function with realistic expectations given tear complexity.

Keywords

rotator cuff tear

orthopedic surgery

biologic scaffolds

surgical techniques

shoulder reconstruction