OVERVIEW Chapter synopsis Management of massive irreparable rotator cuff tears is challenging, and bridging reconstruction of the rotator cuff with acellular human dermal matrix allograft is a viable solution with good short-term to medium-term results being reported in the literature.…
OVERVIEW Chapter synopsis The goal of this chapter is to discuss the indications, operative technique, and rehabilitation protocol for arthroscopic superior capsular reconstruction (SCR) using an acellular dermal allograft Important points Arthroscopic SCR provides significant pain relief and improvement in…
OVERVIEW Chapter synopsis Rotator cuff insufficiency resulting from large, chronic rotator cuff tears (RCT) can lead to shoulder pain, weakness, and loss of range of motion (ROM). Tendon transfers are a potential treatment option for irreparable posterior-superior rotator cuff insufficiency.…
OVERVIEW Synopsis Mini-open rotator cuff repair techniques were evolved to minimize morbidity from open techniques. This technique has been proven to provide reliable clinical improvements in patients with rotator cuff tears; however, it has been largely replaced with all arthroscopy-based…
OVERVIEW Chapter synopsis Arthroscopic subscapularis repairs are becoming more common, and outcomes are similar to those of open repairs. Many times, the tear is an upper border injury that can easily be addressed with arthroscopic techniques. This chapter outlines the…
OVERVIEW Chapter synopsis Double-row and transosseous equivalent repair techniques provide improved footprint coverage, pressurized contact area, reduced motion at the footprint tendon-bone interface, and greater load to failure. It is believed that improved contact characteristics will help maximize the healing…
OVERVIEW Chapter synopsis Arthroscopic repair of the rotator cuff with a single row of suture anchor fixation represents a well-established technique with a high rate of success. Single-row arthroscopic rotator cuff repair can be executed consistently and effectively with relative…
OVERVIEW Chapter synopsis Traumatic anterior dislocation of the glenohumeral joint is frequently associated with osseous injury, including glenoid bone loss and impaction fractures of the posterosuperior humeral head (Hill-Sachs lesion). Recognition of osseous defects is critical to preserve the balance…
OVERVIEW Chapter synopsis The J-bone graft procedure is indicated in patients suffering from anterior shoulder instability and critical glenoid bone loss. An autologous iliac crest bone graft is shaped to resemble the letter “J” and is press-fit impacted into a…
OVERVIEW Chapter synopsis Glenoid bone loss is frequently present in patients with recurrent anterior shoulder instability. Key factors indicative of significant glenoid bone loss of more than 20% are instability at midranges of abduction (20–60 degrees) and progressive ease of…