2024 AOSSM Annual Meeting Recordings-Concurrent Session A: Cuff It—Own the Gamut of Rotator Cuff Tear Management

Video Transcription

Video Summary

The session focuses on various complex topics and techniques in managing massive irreparable rotator cuff tears. The first speaker, Haley McKissick, discusses outcomes of lower trapezius transfer (LTT) versus superior capsular reconstruction (SCR). She indicates that lower trap tendon transfer provides dynamic stability, while SCR offers static stabilization. Her study shows that patients with good muscle quality fare better with SCR, whereas those with higher fatty infiltration benefit more from LTT.<br /><br />Steven Marcaccio then elaborates on incidental teres minor atrophy in patients with rotator cuff repair, highlighting its frequent occurrence and association with worse postoperative outcomes, though without higher failure rates.<br /><br />Grant Jones shares techniques for repairing large rotator cuff tears, emphasizing tension-free repairs by recognizing tear patterns and using methods such as partial repairs and augmentation.<br /><br />Catherine Burns advocates for a hybrid approach combining repair techniques with bridging grafts or cables, stressing the need for patient selection based on activity level, comorbidities, and tolerance for risk.<br /><br />Eric Wagner discusses technical highlights of arthroscopic lower trapezius transfer, stressing tension and dynamic stability, and detailing the procedural steps.<br /><br />The session concludes with a panel discussion, exploring revision strategies for failed rotator cuff repairs, highlighting the importance of patient-specific factors, failure causes, and the potential use of biologics and advanced graft techniques to enhance outcomes.

Asset Caption

10:45 am - 11:45 am

Meta Tag

Concept Lower Trapezius Transfer

Concept Superior Capsular Reconstruction

Concept Massive Irreparable Rotator Cuff Tear

Concept Fatty Infiltration

Concept Rotator Cuff Repair

Speaker Raffy Mirzayan, MD

Speaker Nikhil N. Verma, MD

Speaker Haley M. McKissack, MD, BS

Speaker Stephen Marcaccio, MD

Speaker Grant L. Jones, MD

Speaker Katherine Burns, MD

Speaker Eric Wagner, MD, MS

Speaker Augustus Mazzocca, MD, MS

Speaker John Tokish, MD

Speaker John E. Kuhn, MD, MS

Speaker Felix H. Savoie, III, MD

Keywords

Raffy Mirzayan, MD

Nikhil N. Verma, MD

Haley M. McKissack, MD, BS

Stephen Marcaccio, MD

Grant L. Jones, MD

Katherine Burns, MD

Eric Wagner, MD, MS

Augustus Mazzocca, MD, MS

John Tokish, MD

John E. Kuhn, MD, MS

Felix H. Savoie, III, MD

rotator cuff tears

lower trapezius transfer

superior capsular reconstruction

teres minor atrophy

tension-free repairs

hybrid approach

arthroscopic techniques

revision strategies

biologics

Lower Trapezius Transfer

Superior Capsular Reconstruction

Massive Irreparable Rotator Cuff Tear

Fatty Infiltration

Rotator Cuff Repair