2024 AOSSM Annual Meeting Recordings NON-CME-Concurrent Session A Cuff It Own the Gamut of Rotator Cuff Team Management

Video Transcription

Video Summary

The session on complex topics in rotator cuff surgery primarily focused on comparative outcomes of different surgical techniques and strategies for addressing massive irreparable rotator cuff tears. The primary study compared outcomes between lower trapezius tendon transfer (LTT) and superior capsular reconstruction (SCR). Haley McKissick presented data showing that SCR patients with good muscle quality had better outcomes than those with poor muscle quality. However, LTT patients generally performed better than SCR patients who had high fatty infiltration of the rotator cuff. The second paper presented by Steven Marcaccio discussed the impact of teres minor fatty infiltration in patients undergoing rotator cuff repair, noting that significant fatty infiltration was associated with worse postoperative outcomes.<br /><br />The panel discussion highlighted the importance of understanding the patient's goals and the extent of muscle quality and fatty infiltration. Different augmentation techniques were discussed, including using biologics and muscle transfers to bolster repairs. There were differing opinions on re-repairing cuffs versus opting for reverse shoulder arthroplasty, depending on factors such as patient age, fatty infiltration, and functional goals. The session concluded with an in-depth Q&A addressing technical pearls and decision-making processes in rotator cuff surgeries.

Asset Caption

10:45 am - 11:45 am

Meta Tag

Concept Massive Irreparable Rotator Cuff Tear

Concept Superior Capsular Reconstruction

Concept Lower Trapezius Transfer

Concept Fatty Infiltration

Concept Arthroscopic 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 surgery

surgical techniques

massive irreparable tears

lower trapezius tendon transfer

superior capsular reconstruction

muscle quality

fatty infiltration

augmentation techniques

reverse shoulder arthroplasty

Massive Irreparable Rotator Cuff Tear

Superior Capsular Reconstruction

Lower Trapezius Transfer

Fatty Infiltration

Arthroscopic Rotator Cuff Repair