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Arthroscopic Treatment

  • Anthony HoEmail author
  • Andrew S. Neviaser
Chapter

Abstract

Advances in arthroscopic instrumentation and better patient selection have improved outcomes following arthroscopic rotator cuff repair in recent decades. The critical question guiding treatment is no longer whether a tear can be repaired, but whether repair of a torn rotator cuff will lead to a predictable outcome. This prediction is made largely upon biologic markers such as fatty infiltration and atrophy of the cuff musculature as well as patient age. Any tear that should be repaired can be repaired arthroscopically. Arthroscopy provides several advantages over the traditional open or mini-open techniques including improved visualization of large tears and less deltoid damage. The principles of cuff repair remain the same, regardless of the approach, with the goal being a tension-free, complete repair. Releases done arthroscopically mimic those used in open surgery and are described in this chapter including arthroscopic release of a retracted subscapularis tendon. Arthroscopic debridement and biceps tenotomy is an option for lower-demand patients with large irreparable tears. Rehabilitation following arthroscopic rotator cuff repair should include a period of immobilization to allow early tendon healing. This does not result in intractable stiffness as was thought when repairs were done open.

Keywords

Rotator Cuff Rotator Cuff Tear Rotator Cuff Repair Subscapularis Tendon Suprascapular Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryGeorge Washington University HospitalWashington, DCUSA

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