Rotator Cuff Repair Flashcards
What is the function of the Rotator Cuff?
Keeps Humeral head in the Glenoid Fossa
What muscles comprise the Rotator Cuff?
- Supraspinatus
- Infraspinatus
- Teres Minor
- Subscapularis
What is a Rotator Cuff tear?
When the tendons are not fully attached to the Humeral head due to physical strain (acute or chronic)
What is a Partial Rotator Cuff tear?
Damage to soft tissue but not completely transected
What is a Full Thickness Rotator Cuff tear?
Tendon is completely transected and torn off Humeral head
True or False: Both Partial and Full Thickness Rotator Cuff tears must be surgically repaired.
False
-Only a Full Thickness Rotator Cuff tear requires surgery
What is Patient Positioning for an Open Rotator Cuff Repair?
- Beach chair position
- Schlein Shoulder Positioner (Chair)
Where is the skin incision made for an Open Rotator Cuff Repair?
3 cm. incision parallel to the lateral border of the Acromion
What is the first step in an Open Rotator Cuff Repair?
- Dissect Deltoid off of Acromion
- Acromioplasty (if necessary)
- Removal of Bursal Sac
How is the Rotator Cuff tendon repaired?
0 Ethibond on a CT1 needle
-Simple Figure of 8 Stitch
Why is an Ethibond suture used in Rotator Cuff Repairs?
Strong, permanent suture that never loses its tensile strength
What type of knots are tied in the Rotator Cuff tendon?
Interrupted knots because its a high tension area
What are the steps to closing an Open Rotator Cuff Repair?
- Reattach Deltoid muscle to Acromion
- Close Dermis of shoulder
- Close skin of shoulder
What type of suture is used to reattach the Deltoid after repairing the Rotator Cuff?
0 Ethibond on a CT1 needle
-Simple Figure of 8 Stitch
What type of suture is used to close the Dermis of the shoulder?
3-0 Vicryl on a CT1 needle
-Deep Buried
