IC 107-2022: A Case-Based Approach to Managing Complex Problems in the Young Adult: Arthritis, Irreparable Rotator Cuff, and Recurrent Instability-A Case-Based Approach to Managing Complex Problems in the Young Adult: Arthritis, Irreparable Rotator Cuff, and Recurrent Instability (2/3)

A Case-Based Approach to Managing Complex Problems in the Young Adult: Arthritis, Irreparable Rotator Cuff, and Recurrent Instability (2/3)

Back to course

Video Transcription

Video Summary

In this video, a physician discusses two cases of irreparable rotator cuff tears in young patients. The first case is a 43-year-old laborer who had prior rotator cuff surgery but still experienced pain and limited function. The MRI revealed a posterior tear in the infraspinatus muscle, making it irreparable. The physician discusses the option of a tendon transfer, specifically the latissimus dorsi or lower trapezius transfer, but notes that neither option is likely to fully restore function. The second case is a 38-year-old teacher who developed shoulder pain and weakness from folding laundry. Examinations and imaging reveal a chronic rotator cuff tear and some signs of glenohumeral arthritis. The physician discusses the options of tendon transfers, subscapularis repair, or reverse shoulder arthroplasty. The decision is ultimately made to perform a superior capsular reconstruction (SCR) with a graft. The physician acknowledges that the SCR may not fully restore function but can provide pain relief and improved stability. The video concludes with a discussion about the challenges and outcomes associated with SCR and other treatment options for irreparable rotator cuff tears.

Asset Caption

Gregory Cvetanovich, MD

Keywords

physician

irreparable rotator cuff tears

tendon transfer

shoulder pain

function restoration

MRI