Comma Sign–Directed Repair of Anterosuperior Rotator Cuff Tears

Slides:

Advertisements

Similar presentations

Comma Sign–Directed Repair of Anterosuperior Rotator Cuff Tears

Advertisements

Murat Bozkurt, M. D. , Mustafa Akkaya, M. D. , Safa Gursoy, M. D

“Double-Row Rip-Stop” Technique for Arthroscopic Rotator Cuff Repair

Arthroscopic Repair of Medial Transtendinous Rotator Cuff Tears

Anterior Capsule Reconstruction for Irreparable Subscapularis Tears

Long Head of the Biceps as a Suitable Available Local Tissue Autograft for Superior Capsular Reconstruction: “The Chinese Way” Achilleas Boutsiadis,

Arthroscopic Recognition and Repair of the Torn Subscapularis Tendon

Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive.

William J. Ciccone, M.D. Arthroscopy Techniques

John M. Tokish, M.D., Clint Beicker, M.D. Arthroscopy Techniques

Sean Baran, M.D., Aaron J. Krych, M.D., Diane L. Dahm, M.D.

Alan M. Hirahara, M.D., F.R.C.S.C., Wyatt J. Andersen, A.T.C.

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Arthroscopic Rotator Cuff Repair With Concomitant Capsular Release

Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures

Duncan Tennent, F. R. C. S. (Orth), Henry B. Colaço, M. Sc. , F. R. C

An Augmentation Suture Technique for Arthroscopic Rotator Cuff Repair

The Subscapularis Interlocking Stitch for the Arthroscopic Treatment of Subscapularis Tendon Tears at the Shoulder Jörn Kircher, M.D., Ph.D., Knut Schwalba,

The Hidden Lesion of the Subscapularis: Arthroscopically Revisited

Consolidated Proximal Biceps Tenodesis and Subscapularis Repair

Arthroscopic Treatment of a Reverse Hill-Sachs Lesion

Maximilian Petri, M. D. , Joshua A. Greenspoon, B. Sc. , Peter J

Arthroscopic 360° Shoulder Labral Reconstruction: A Stepwise Approach

Arthroscopic Repair of Inferior Labrum From Anterior to Posterior Lesions Associated With Multidirectional Instability of the Shoulder David M. Burt,

Aquarium Portal Technique for PASTA Lesion Repair

Jonathan C. Levy, M.D. Arthroscopy Techniques

Knotless Suture Bridge Technique in High-Grade Bursal-Sided Rotator Cuff Tears. Is This The Way Forward? Bancha Chernchujit, M.D., Mohd Azrin Shahul.

The “Double-Pulley” Technique for Arthroscopic Fixation of Partial Articular-Side Bony Avulsion of the Supraspinatus Tendon: A Rare Case of Bony PASTA.

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Bancha Chernchujit, M.D., Pankaj N. Sharma, M.B.B.S., D.Ortho.

The “Parachute” Technique: A Simple and Effective Single-Row Procedure to Achieve an Increased Contact Area Between the Cuff-Tendon and Its Footprint

Subscapularis Repair With the Suture Shuttle Loop Technique

Repair of Rotator Cuff Tear With Delamination: Independent Repairs of the Infraspinatus and Articular Capsule Tomoyuki Mochizuki, M.D., Ph.D., Akimoto.

Arthroscopic Partial Repair of Irreparable, Massive Rotator Cuff Tears

Hytham Salem, B. A. , Aaron Carter, M. D. , Fotios Tjoumakaris, M. D

A Novel Arthroscopic Inside-Out Repair Technique for PASTA Lesions

Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears Alan M. Hirahara, M.D., F.R.C.S.C., Christopher.

Using a Posterolateral Portal to Pass and Tie the Suture of the Inferior Anchor During Arthroscopic Bankart Repair Walid Reda, M.D., Ph.D., Ahmed Khedr,

Dual-Camera Technique for Arthroscopic Rotator Cuff Repair

Ashley Whelan, B. Sc. , Catherine Coady, M. D. , F. R. C. S. (C

Modified Margin Convergence: Over-Under Lacing Suture Technique

Adam Kwapisz, M.D., Ph.D., John M. Tokish, M.D. Arthroscopy Techniques

Arthroscopic Distal Clavical Resection Using “Vis-à-Vis” Portal

Technique for Type IV SLAP Lesion Repair

Arthroscopic-Assisted Pectoralis Minor Transfer for Irreparable Anterosuperior Massive Rotator Cuff Tear Kotaro Yamakado, M.D., Ph.D. Arthroscopy Techniques

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Arthroscopic Subscapularis Repair Through a Single Anterior Portal

Transtendon, Double-Row, Transosseous-Equivalent Arthroscopic Repair of Partial- Thickness, Articular-Surface Rotator Cuff Tears Matthew F. Dilisio, M.D.,

Anirudh K. Gowd, B. S. , Joseph N. Liu, M. D. , Grant H. Garcia, M. D

Arthroscopic Transosseous-Equivalent Rotator Cuff Repair

Repair of Rotator Cuff Tear With Delamination: Independent Repairs of the Infraspinatus and Articular Capsule Tomoyuki Mochizuki, M.D., Ph.D., Akimoto.

Arthroscopic Distal Clavical Resection Using “Vis-à-Vis” Portal

Technique for Type IV SLAP Lesion Repair

Margin Convergence in Rotator Cuff Repair: The Shoelace Technique

Arthroscopic Knotless Repair of the Posterior Labrum Using LabralTape

Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment Robert A. Duerr, M.D., John.

“Double-Row Rip-Stop” Technique for Arthroscopic Rotator Cuff Repair

Daisuke Mori, M.D., Noboru Funakoshi, M.D., Fumiharu Yamashita, M.D.

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

Avinesh Agarwalla, B. S. , Richard N. Puzzitiello, B. S

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

An Arthroscopic Humeral Medializing Repair of the Supraspinatus

Mathew J. Mazoch, M.D., Wesley F. Frevert, M.D., Larry D. Field, M.D.

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Paul E. Caldwell, M. D. , Adam J. Heisinger, D. O. , Sara E

The Subscapularis Interlocking Stitch for the Arthroscopic Treatment of Subscapularis Tendon Tears at the Shoulder Jörn Kircher, M.D., Ph.D., Knut Schwalba,

Arthroscopic Repair of Rare Transtendinous Rotator Cuff Tear: Utilizing Established Portals and a Posterior Superior Accessory Portal Shane Anderson,

Gregory Gasbarro, M.D., Lionel Neyton, M.D. Arthroscopy Techniques

Bancha Chernchujit, M.D., Pankaj N. Sharma, M.B.B.S., D.Ortho.

Courtney R. Carlson Strother, M. D. , Richard J. McLaughlin, M. D

Presentation transcript:

Comma Sign–Directed Repair of Anterosuperior Rotator Cuff Tears Matthew F. Dilisio, M.D., Lionel Neyton, M.D. Arthroscopy Techniques Volume 3, Issue 6, Pages e695-e698 (December 2014) DOI: 10.1016/j.eats.2014.09.001 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 The comma sign tissue (blue arrow) is seen as a vertical structure parallel to the anterior glenoid labrum (asterisk) and attached to the remnant upper border of the subscapularis (black arrow) when viewed from the posterior portal of a right shoulder with the patient in the beach-chair position. Arthroscopy Techniques 2014 3, e695-e698DOI: (10.1016/j.eats.2014.09.001) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 After appropriate releases, a free suture has been passed in a side-to-side fashion with a tissue penetrator through the comma sign tissue (blue arrow) and the remnant lateral upper border of the subscapularis (black arrow), with viewing from the lateral portal. An anchor will eventually be placed in the exposed lesser tuberosity (asterisk) to complete the subscapularis repair. Arthroscopy Techniques 2014 3, e695-e698DOI: (10.1016/j.eats.2014.09.001) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Tying the side-to-side stitch of the upper border of the subscapularis (black arrow) indirectly reduces the leading edge of the supraspinatus (blue arrow) to its insertion on the greater tuberosity (asterisk). Arthroscopy Techniques 2014 3, e695-e698DOI: (10.1016/j.eats.2014.09.001) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 The reconstitution of the upper border of the subscapularis (arrow) is visualized from the posterior portal from an intra-articular view after the repair of the comma sign tissue to the remnant intact lateral subscapularis has been performed. Arthroscopy Techniques 2014 3, e695-e698DOI: (10.1016/j.eats.2014.09.001) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions