AOSSM Specialty Day 2023 with ISAKOS with CME-5. AOSSM-ISAKOS - Session VI

Video Transcription

Video Summary

In this video, Dr. Tokic discusses management strategies for addressing massive irreparable rotator cuff tears in active patients. He highlights the challenges in determining the most effective approach due to the variety of options available. Dr. Tokic emphasizes the importance of considering factors such as the presence of degenerative joint disease, age, and functionality in the decision-making process. He suggests different techniques for different patient profiles, including shoulder replacement surgery for patients with significant arthritis, reverse shoulder arthroplasty for older and inactive patients, and procedures such as subscapularis muscle transfer or lower trap transfer for young and active patients with non-functional cuff muscles. Dr. Tokic concludes by acknowledging the ongoing controversy and need for further research in this field.

Keywords

management strategies

massive irreparable rotator cuff tears

active patients

shoulder replacement surgery

reverse shoulder arthroplasty