AOSSM Specialty Day 2023 with ISAKOS - no CME-5. AOSSM-ISAKOS - Session VI

Video Transcription

Video Summary

In this video, Dr. Tokic discusses management strategies for addressing massive irreparable rotator cuff tear in active patients. He highlights the current options and algorithms in 2023. The video emphasizes the need for a nuanced approach and presents a decision-making process based on four key questions. The first question is whether the patient has significant degenerative joint disease (DJD). If they do, the recommended option is shoulder replacement. For patients without significant DJD, the next question is whether they are young and active or older and inactive. Young and active patients can be further classified as functional or non-functional based on their shoulder mobility. Treatment options for non-functional patients with alive cuff muscles include a superior capsular reconstruction (SCR) or an extension graft. For non-functional patients with a dead cuff muscle, a lower trapezius transfer is recommended. The video concludes by acknowledging that the management of massive irreparable cuff tear remains controversial, and that more research and consensus are needed in this area.

Keywords

management strategies

massive irreparable rotator cuff tear

active patients

options and algorithms

nuanced approach