Management of the “Irreparable” Rotator Cuff Tear without Glenohumeral Arthritis (AANA19)-Do All Roads Lead To Reverse_ Alternative Options for Massive Rotator Cuff Tear-Dr. Nikhil Verma, M.D.

Do All Roads Lead To Reverse_ Alternative Options for Massive Rotator Cuff Tear-Dr. Nikhil Verma, M.D.

Video Transcription

Video Summary

The video discusses treatment options for massive irreparable rotator cuff tears, emphasizing that choosing the right procedure depends on patient-specific factors and surgeon expertise. Traditional repairs, superior capsule reconstruction (SCR), tendon transfers, reverse shoulder arthroplasty, and newer options like balloon arthroplasty are explored. SCR, developed by Mihata, uses a graft to recenter the humeral head and reduce pain in younger patients without significant arthritis. Reverse shoulder arthroplasty suits older patients with advanced arthritis but carries higher complication risks. The subacromial balloon, a bioabsorbable spacer, shows promise in Europe for pain relief and function maintenance, with pending FDA approval in the U.S. Each method aims to restore humeral head position, achieve pain relief, and optimize shoulder mechanics. Surgeons must balance expectations, rehabilitation demands, complication risks, and costs to tailor treatment, acknowledging no single solution fits all cases.

Asset Caption

Instructional Course Lecture: Management of the “Irreparable” Rotator Cuff Tear without Glenohumeral Arthritis

Keywords

massive irreparable rotator cuff tears

superior capsule reconstruction

reverse shoulder arthroplasty

subacromial balloon arthroplasty

treatment options

shoulder surgery outcomes