Patient Consudration For Rotator Cuff Surgery Flashcards
What is the most common rotator cuff tear pattern?
A crescent shaped tear of the supraspinatus.
They are short and wide.
The medial to lateral length are less than < the anterior posterior width
See photo
How are crescent shaped tears of the supraspinatus repaired?
With single or double row repair.
Single row repair
See photo
Double row repair
What are the characteristics of L or reversed L shaped rotator cuff tears?
Long and narrow
Length greater> than
What is the most common technique to repair L shaped tears?
Side to side sutures with lateral single or double row lateral anchors in the greater tuberosity.
What are the characteristics of Longitudinal or U-shaped tears?
Long and narrow
Medial and lateral length > greater than anterior posterior width
How are longitudinal or U-shaped tears fixed?
Side to side sutures or margin convergence sutures
With a single to double row anchor in greater tuberosity
What are the characteristics of retracted rotator cuff tears?
Complete tearing of the rotator cuff muscle
Retracted tissue
Loss of elasticity due to scarring
Muscle atrophy and fatty infiltration
Who benefits from superior capsular reconstruction
Younger patients with minimal GH arthritis
How does the rotator cuff heal?
The biological elements of the bone, a gentle debrisment and marrow stimulation will aid in healing
How many anchors should be place per _____ cm of tear
1 anchor per centimeter of tear
Repair sutures should be placed how many mm from muscle tendon junction?
2-3mm lateral
How many anchors for a less than 1cm repair?
1
Tears greater than 1cm tear will benefit from a _______ ______ construct
Double row
Larger tears require what type of bridge repair?
Expansion bridge repair
