Treatment Innovations for Massive & Irreparable Rotator Cuff Tears (AANA22)-Introduction

Video Transcription

Video Summary

This presentation discusses treatment innovations for massive, irreparable rotator cuff tears, a challenging issue especially in younger, active patients. Various surgical options exist, including debridement, repair, augmented repair, superior capsular reconstruction, tendon transfers, subacromial balloon spacers, and reverse shoulder arthroplasty. No single gold standard treatment prevails; approaches must be tailored to individual patient factors like age, activity, and joint condition. Imaging (X-rays, MRI) and clinical evaluation guide decision-making. Irreparability is linked to factors like symptom duration, fatty muscle infiltration, and humeral head migration. Restoring glenohumeral joint balance is key to successful outcomes.

Asset Caption

Peter S. Vezeridis, M.D.

Keywords

massive rotator cuff tears

irreparable rotator cuff

surgical treatment options

superior capsular reconstruction

reverse shoulder arthroplasty