Arthroscopic Transosseous Equivalent Double-Row Rotator Cuff Repair

Abstract

Dr. Murthi performs an arthroscopic double-row rotator cuff repair on a 40-year-old, right-hand-dominant, male firefighter who traumatically injured his rotator cuff after a fall on the job. The patient has symptomatic complaints of pain and weakness with overhead activity. On examination, he has full passive range of motion, with no evidence of any adhesions, capsulitis, or neurovascular complications. Diagnostic arthroscopy reveals tears of the supraspinatus and infraspinatus tendons, mild arthrosis within the glenohumeral joint, and some degeneration of the superior glenoid labrum. In a demonstration of his surgical approach, Dr. Murthi shows how to mark the shoulder for portal placement, perform a release of the supraspinatus tendon to improve its excursion, débride the subacromial space, prepare the greater tuberosity for suture anchor placement, and complete a tension-free repair of the rotator cuff with double-row fixation. Postoperative therapy includes passive and active-assisted range-of-motion exercise as tolerated within the first week, isometric deltoid exercise at 3 weeks, active range-of-motion exercise with terminal stretching at 6 weeks, and shoulder strengthening at 10 weeks.

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