Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options.

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Abstract

7. Arthrosc Tech. 2022 Nov 18;12(3):e421-e432. doi: 10.1016/j.eats.2022.08.048. eCollection 2023 Mar. Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique. Rondon AJ(1)(2), Farronato DM(1)(2), Pezzulo JD(1)(2), Abboud JA(1)(2). Author information: (1)The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania. (2)Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania. Massive irreparable rotator cuff tears pose a significant challenge for both the treating orthopedic surgeon and patient. Surgical treatment options for massive rotator cuff tears include arthroscopic debridement, biceps tenotomy or tenodesis, arthroscopic rotator cuff repair, partial rotator cuff repair, cuff augmentation, tendon transfers, superior capsular reconstruction, subacromial balloon spacer, and ultimately reverse shoulder arthroplasty. The present study will provide a brief overview of these treatment options along with a description of the surgical technique for subacromial balloon spacer placement. © 2022 The Authors. DOI: 10.1016/j.eats.2022.08.048 PMCID: PMC10066046