Spring 2020 Fellows Webinars-Management Strategies for the "Irreparable" Rotator Cuff

Video Transcription

Video Summary

Dr. Steve Brogmeier, an associate professor at UVA and education chair for AOSSM, discusses management strategies for irreparable rotator cuffs in this video. He highlights the challenges of repairing rotator cuff tears, particularly in cases where the tissue is compromised and does not easily heal. Management strategies discussed include physical therapy, grafting procedures, tendon transfers, and the use of superior capsular reconstruction (SCR). Careful patient selection and thoughtful approach are emphasized. The video also demonstrates a grafting technique using tissue from the patient's cup and mentions the importance of using a thick graft. A case study of a patient with a positive outcome after SCR surgery is presented. Other options such as tendon transfers and reverse total shoulder arthroplasty are mentioned. The potential use of a subacromial space balloon is also discussed, although it is not yet FDA approved. The evidence for PRP treatments in the shoulder is acknowledged to be disappointing compared to other tendon applications. The talk concludes by emphasizing the importance of understanding indications for different surgical options and individualizing treatment approaches for each patient.

Asset Subtitle

May 19, 2020

Keywords

irreparable rotator cuffs

management strategies

tissue compromise

grafting procedures

tendon transfers

superior capsular reconstruction

patient selection

thick graft

positive outcome

surgical options