Rotator Cuff Arthroscopic Reinforcement for the Management of Intrasubstance Tears

Description

In this video, Dr. Sergio Rowinski from Shoulder Planet in São Paulo, Brazil, presents an informative session on addressing partial rotator cuff tears through a surgical technique called rotator cuff reinforcement. He discusses the complexities involved when dealing with partial tears of the supraspinatus muscle, particularly when conservative management fails, leading to the necessity for arthroscopy.



Dr. Rowinski describes a case study of a 50-year-old truck driver suffering from shoulder pain, diagnosed with an interstitial supraspinatus lesion. After unsuccessful conservative treatment, he undergoes arthroscopy to evaluate and potentially address the tear, showcasing the surgical process step by step.



The video details the entire arthroscopic procedure including portal establishment, acromioplasty, and marking of the rotator cuff lesion. Dr. Rowinski explains his decision-making process as he performs rotator cuff reinforcement with an anchor, emphasizing the importance of creating a strong reinforcement of the posterior superior cuff to alleviate the patient's symptoms.

DOI: 10.1302/3114-210758

Specialties