IC 206-2023: Massive Rotator Cuff Tears in 2023-IC 206 - Massive Rotator Cuff Tears in 2023 (1/5)

Video Transcription

Video Summary

In this video, the speaker discusses the management and treatment of rotator cuff tears. They mention that many patients with rotator cuff tears are asymptomatic until something triggers symptoms, and they want to understand the symptomatology and progression of the disease to determine the best treatment approach. The speaker also discusses the importance of understanding why some tears cause pain and functional loss while others do not. They mention different factors that can contribute to the pain and loss of function, such as bursal inflammation, synovitis, and subacromial pathology. The speaker emphasizes the importance of understanding the patient's priorities and goals in order to have a rational discussion about treatment options. They also discuss the challenges in diagnosing and defining a condition called pseudoparalysis, where patients have limited arm elevation. The speaker discusses the use of imaging techniques such as radiographs and MRIs to aid in diagnosis and treatment decisions. They then outline different surgical techniques for repairing rotator cuff tears, including single-row and double-row repairs, as well as the use of augmentation techniques. The speaker concludes by emphasizing the importance of tailored rehabilitation programs for each patient and mentions the use of a balloon as a treatment option for some patients.

Asset Caption

Nikhil Verma, MD

Keywords

rotator cuff tears

treatment

symptomatology

diagnosis

rehabilitation programs