2022 AOSSM Annual Meeting Recordings with CME-Arthroscopic Rotator Cuff Repair with and without Acromioplasty in the Treatment of Full-Thickness Rotator Cuff Tears: Long Term Follow-up of a Multicenter, Randomized Controlled Trial

Arthroscopic Rotator Cuff Repair with and without Acromioplasty in the Treatment of Full-Thickness Rotator Cuff Tears: Long Term Follow-up of a Multicenter, Randomized Controlled Trial

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Video Transcription

Video Summary

In this video, the speaker discusses the topic of rotator cuff pathology and the role of acromioplasty in its treatment. The speaker highlights two theories regarding the cause of rotator cuff tendinopathy: the intrinsic theory, suggesting aging and tendon degeneration play a role, and the extrinsic theory, suggesting mechanical compression leads to dysfunction and tearing. The speaker mentions a previous randomized trial that found no difference in functional outcomes between patients who underwent rotator cuff repair with or without acromioplasty, but a higher rate of revision surgery in the non-acromioplasty group. The current study aims to evaluate the long-term efficacy of acromioplasty in cases of full-thickness rotator cuff tears. The findings show no differences in work or range of motion between groups, but a significant difference in the revision rate, with more re-operations in the non-acromioplasty group.

Asset Caption

Sheila McRae

Keywords

rotator cuff pathology

acromioplasty

rotator cuff tendinopathy

intrinsic theory

extrinsic theory