Course Lecture Pearls: Foundations in Arthroscopy-Subacromial Arthroscopy_ Bursectomy, Acromioplasty, Distal Clavicle Excision, Prepare for Cuff-Richard K.N. Ryu, M.D

Subacromial Arthroscopy_ Bursectomy, Acromioplasty, Distal Clavicle Excision, Prepare for Cuff-Richard K.N. Ryu, M.D

Video Transcription

Video Summary

This detailed lecture covers key aspects of shoulder arthroscopy, focusing on subacromial decompression, distal clavicle excision, and rotator cuff repair. The speaker emphasizes careful patient selection for acromioplasty, only performing decompression when subacromial pathology is evident, while avoiding unnecessary acromial resection. Two main decompression techniques are discussed, highlighting the cutting block approach. For distal clavicle excision, preoperative decision-making is crucial, with precise bone resection to maintain AC joint stability. Tear pattern recognition via MRI is stressed as essential for planning repair, categorizing tears as crescent, L-shaped, or massive, with anatomical restoration critical for healing. Traction sutures facilitate reduction, and a modified Mason-Allen single-row suture technique is preferred for cuff repair. The lecture encourages judicious microfracture at the footprint to enhance healing. Overall, the approach prioritizes individualized treatment based on pathology, precise technique, and anatomy to optimize outcomes in rotator cuff surgery.

Keywords

shoulder arthroscopy

subacromial decompression

distal clavicle excision

rotator cuff repair

acromioplasty patient selection

Mason-Allen suture technique