APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Rotator Cuff

Video Transcription

Video Summary

In this expert panel discussion, surgeons analyze two complex shoulder cases focusing on rotator cuff and subscapularis tears. The first case involves a 57-year-old carpenter with a chronic full-thickness supraspinatus and partial infraspinatus tear. The consensus favors surgical repair, emphasizing detailed tear assessment, mobilization techniques, and footprint medialization to reduce tension and enhance healing. They debate repair strategies, including single versus double row fixation and biologic augmentation using the biceps tendon. The second case addresses an acute subscapularis tear in a 60-year-old post-fall patient, highlighting the importance of early repair over conservative management. Surgeons discuss arthroscopic versus open approaches, visualization techniques (interarticular or subacromial views), and recognizing key anatomy like the "comma sign" for successful repair. They stress careful suture management, nerve injury awareness, and tailored portal use. Overall, the session underscores precise surgical planning, technical skill, and individualized repair strategies to optimize outcomes in rotator cuff pathology.

Asset Caption

Moderator: Larry Field, M.D.
Panel: Dann Byck, M.D., Steven DeFroda, M.D., Fernando Hernandez-Perez, M.D.

Keywords

rotator cuff tears

subscapularis tear

shoulder surgery

arthroscopic repair

single vs double row fixation

biceps tendon augmentation