All-Arthroscopic Muscle Slide and Advancement Technique to Repair Massive Retracted Posterosuperior Rotator Cuff Tears

Ashish Gupta; Andrew M Ker; Jashint C Maharaj; Egbert J D Veen; Kenneth Cutbush

doi:10.1016/j.eats.2021.02.009

All-Arthroscopic Muscle Slide and Advancement Technique to Repair Massive Retracted Posterosuperior Rotator Cuff Tears

Arthrosc Tech. 2021 May 4;10(6):e1439-e1446. doi: 10.1016/j.eats.2021.02.009. eCollection 2021 Jun.

Authors

Ashish Gupta^{1

2}, Andrew M Ker^{1

3}, Jashint C Maharaj², Egbert J D Veen^{1

3}, Kenneth Cutbush³

Affiliations

¹ Greenslopes Private Hospital, Brisbane, Australia.
² Shoulder Surgery QLD Research Institute (SSQRI), Brisbane, Australia.
³ Brisbane Private Hospital, Brisbane, Australia.

Abstract

Symptomatic massive posterosuperior rotator cuff tears without glenohumeral joint arthritis and chronic medial retraction often are deemed "irreparable." These patients often are treated with alternative joint-sparing procedures including superior capsular reconstruction or tendon transfer procedures. Open and arthroscopic-assisted muscle advancement techniques allow maximal lateral tendon mobilisation during rotator cuff repair. In this report, we present an all-arthroscopic technique of complete supraspinatus and infraspinatus muscle scapular detachment and advancement in retracted massive posterosuperior rotator cuff tears. This allows for an anatomical tendon footprint reduction and tension-free repair.