APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Track 1: Optimizing Rotator Cuff

Video Transcription

Video Summary

Alan Curtis presents a comprehensive overview of rotator cuff tear management, emphasizing the critical role of anatomy and tailored surgical techniques. Drawing from extensive research and over 6,000 cases, he highlights key strategies: minimizing tension in repairs, understanding tear propagation along specific anatomic intervals, and adapting repair methods accordingly. Curtis details the dimensions and insertion patterns of the four rotator cuff tendons—the subscapularis, supraspinatus, infraspinatus, and teres minor—and discusses common tear types: crescent, L-shaped, and reverse L-shaped, each requiring distinct approaches to reduce tension and ensure strong fixation. He recommends using triple-loaded anchors and favoring minimal tissue trauma, often repairing via a two-portal arthroscopic technique in lateral position. A novel technique involves in situ biceps tenodesis to aid in repairing retracted supraspinatus tears. Ultimately, Curtis advocates customizing repair strategies based on individual tear anatomy to optimize outcomes and rehab, warning against forcing uniform techniques that may overstress repairs.

Asset Caption

Faculty: Alan S. Curtis, M.D., FAANA

Keywords

rotator cuff tear management

surgical techniques

anatomy of rotator cuff

arthroscopic repair

biceps tenodesis