AANA19 Shoulder Access Pass-Why Scope Capsular Releases and Debridement Work-Dr. Felix H. Savoie, M.D.

Why Scope Capsular Releases and Debridement Work-Dr. Felix H. Savoie, M.D.

Video Transcription

Video Summary

The speaker discusses surgical release techniques for arthritic shoulders and rotator cuff tears, emphasizing their importance in improving visualization, reducing repair tension, and restoring shoulder movement. Releases involve removing adhesions, scar tissue, and selectively cutting structures like the capsule, rotator interval, and coracohumeral ligament to restore normal gliding. Subdeltoid, intra-articular, and subacromial releases are detailed, highlighting the need to preserve healthy tissues. Complete release of the coracohumeral ligament and suprascapular nerve is crucial for mobility, especially in massive cuff tears. Mastery of these releases is essential for successful rotator cuff repair and motion restoration in stiff, arthritic shoulders.

Keywords

arthritic shoulder

rotator cuff tear

surgical release techniques

coracohumeral ligament

shoulder mobility restoration