Basic Steps to do a Rotator Cuff Double-Row Repair

Description

In this educational video, Dr. Sergio Rowinski from Shoulder Planet in São Paulo, Brazil, introduces a double row technique for repairing smaller lesions in the supraspinatus cuff, a common issue faced by shoulder surgeons. He emphasizes the importance of achieving a tension-free repair and an adequate post-operative rehabilitation strategy. Dr. Rowinski discusses what constitutes PASTA lesions (Partial Articular Supraspinatus Tendon lesions) and how management varies depending on the tear's thickness. He shares a detailed case study of a 47-year-old patient with a significant anterior supraspinatus PASTA lesion, illustrating the treatment pathway: from conservative management with injections that provided temporary relief to the eventual decision for surgical intervention. Through a thorough arthroscopic demonstration, Dr. Rowinski describes each step of the surgery including biceps tenotomy, lesion preparation, acromioplasty, and the intricacies of implementing a double row suture repair. He concludes the video with an invitation for viewers to subscribe and engage with his content, encouraging them to continue learning about shoulder surgery.

Specialties