OVERVIEW Chapter synopsis Suprascapular nerve compression at the suprascapular notch and spinoglenoid notch can cause a significant shoulder pathology. This can be surgically managed with arthroscopy, open release of the transverse suprascapular ligament (TSL), or excision of a pathology in…
OVERVIEW Chapter synopsis Superior labrum, anterior-to-posterior, lesions, a.k.a. “SLAP” lesions, continue to present problems both in terms of making an accurate diagnosis of a symptomatic SLAP lesion and in terms of decision-making as to the ideal treatment. This chapter discusses…
OVERVIEW Chapter synopsis High failure rates after rotator cuff repair have encouraged the search for biologics that may stimulate improved healing. This chapter will consider a number of different biologic approaches to augmenting rotator cuff repairs. Key cytokines and growth…
OVERVIEW Chapter synopsis Advances in biologic and structural augmentation of full-thickness rotator cuff tear repairs will be necessary to solve the problem of non-healing of large and/or revision tears. This chapter will outline a technique for biologically and structurally augmenting…
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…