Arthroscopic Partial Repair of Irreparable, Massive Rotator Cuff Tears

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Presentation transcript:

Arthroscopic Partial Repair of Irreparable, Massive Rotator Cuff Tears Roberto Castricini, M.D., Olimpio Galasso, M.D., Daria Anna Riccelli, M.D., Filippo Familiari, M.D., Massimo De Benedetto, M.D., Nicola Orlando, M.D., Giorgio Gasparini, M.D.  Arthroscopy Techniques  Volume 6, Issue 1, Pages e143-e147 (February 2017) DOI: 10.1016/j.eats.2016.09.020 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic view from the posterior portal in a right shoulder in the lateral decubitus position. A massive tear of the posterosuperior rotator cuff (RC) is visualized. (HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Complete tear of supraspinatus (SSP), infraspinatus (ISP), and subscapularis (SSC) tendons. (TM, teres minor.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view from the posterior portal in a right shoulder in the lateral decubitus position. A tear of the upper third of the subscapularis tendon (SSC) is visualized. (G, glenoid; HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view from the lateral portal in a right shoulder in the lateral decubitus position. A triple-loaded suture anchor (Healix) is placed as medially as possible to the first facet of the subscapularis (SSC). (HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic view from the posterior portal in a right shoulder in the lateral decubitus position showing a repair of the subscapularis tendon (SSC) with full coverage of the footprint on the bursal side. (HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic view from the posterior portal in a right shoulder in the lateral decubitus position showing placement of a triple-loaded suture anchor (Healix) for the infraspinatus (ISP) repair. (HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic view from the posterior portal in a right shoulder in the lateral decubitus position showing repair of the infraspinatus (ISP) with a single-row technique. (HH, humeral head.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 8 Anatomic repair of the posterior cuff (i.e., infraspinatus [ISP]) and the anterior cuff (i.e., subscapularis [SSC]) with the humeral head partially uncovered because of the absence of the supraspinatus (SSP). (TM, teres minor.) Arthroscopy Techniques 2017 6, e143-e147DOI: (10.1016/j.eats.2016.09.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions