Arthroscopic Rotator Cuff Surgery

This text takes a comprehensive approach to rotator cuff disorders, including tears and arthroscopic techniques in surgical management. It addresses the latest topics and answers key questions raised at instructional courses.

It is a privilege and honor to write the foreword for this book. The contri- tors to Arthroscopic Rotator Cuff Surgery: A Practical Approach to M- agement are a national and international Who's Who of arthroscopic shoulder surgery. They are to be congratulated on presenting the most up-to-date, scienti?c, clinical, and, particularly, technical aspects of arth- scopic cuff surgery. The subject of this text is very timely given the current enthusiasm of arthroscopic and shoulder surgeons for achieving rotator cuff repairs through the arthroscope. This book is carefully structured, organized, well written, and expertly illustrated. The inclusion of video footage that demonstrates selected p- cedures greatly enhances the textbook descriptions. The video is in DVD format, which is the ideal medium to help the reader understand the pr- ciples of arthroscopic cuff surgery. I have been blessed to be able to grow with the evolution of shoulder surgery, and it is pleasing to see the current state of arthroscopic cuff surgery. Not too many years ago, we made rather large incisions in taking the deltoid off the acromion for exposure to achieve a rotator cuff repair. Some surgeons, particularly in Europe, osteotomized the acromion for exposure. We then slowly migrated to utilizing a mini approach that allowed arthroscopic inspection of the glenohumeral joint and subacromial space allowing decompression, if desired. We are now learning, particularly through focused texts such as this and expert tea- ers such as the authors, to achieve rotator cuff repair arthroscopically.

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This cutting-edge text is written by pioneers in the field who guide the reader through the technical steps of rotator cuff procedures. In keeping with growing patient demand for less invasive treatments, emphasis is placed on arthroscopy. The timely book answers key questions raised at instructional courses, such as how to convert from mini-open repair to all arthroscopic repair. The fundamentals, including patient positioning, suture anchor options, and knot tying, are covered in addition to state-of-the-art techniques. Clavicle resection, tendon to tuberosity repair, PASTA repair, large and massive repair techniques, and subscapularis repairs are among the approaches detailed. The book also presents margin convergence repair, interval slides, matrix grafts, and biceps tendon disorders. Chapters on mechanics and healing, postoperative rehabilitation, and avoiding complications complete the book. The step-by-step approach of the text is supplemented by a wealth of illustrations and photographs. Orthopedic residents and experienced surgeons will find the clinical pearls highlighted throughout the book.

Inhalt
Surgical Indications and Repairability of Rotator Cuff Tears.- Making the Transition from Mini-Open to All-Arthroscopic Repair.- Patient Positioning, Anesthesia Choices, and Portals.- Suture Anchor Options.- Suture Management and Passage.- Arthroscopic Knot Tying.- Role of Arthroscopic Decompression and Partial Clavicle Resection.- Tendon-to-Tuberosity Repair: Medial Footprint Fixation.- Tendon-to-Tuberosity Repair: Lateral Footprint Fixation.- Tendon-to-Tuberosity Repair: Double Row Fixation.- Partial Articular-Sided Tendon Avulsion Transtendon Rotator Cuff Repair.- Suture Anchor Repair of Small and Medium Supraspinatus Tears.- Arthroscopic Repair of Subscapularis Tears.- Tendon Mobilization in Large Rotator Cuff Tears.- Arthroscopic Rotator Cuff Repair with Interval Release for Contracted Rotator Cuff Tears.- When and How to Do Margin Convergence Repair Versus Interval Slides.- Repair of Large Anterosuperior Cuff Tears.- Natural Extracellular Matrix Grafts for Rotator Cuff Repair.- Biceps Tenotomy: Alternative When Treating the Irreparable Cuff Tear.- Biceps Soft Tissue Tenodesis.- Biceps Tenodesis with Interference Screw.- Biceps Subpectoral Mini-Open Tenodesis.- Endoscopic Release of Suprascapular Nerve Entrapment at the Suprascapular Notch.- Mechanics and Healing of Rotator Cuff Injury.- Postoperative Rehabilitation Following Arthroscopic Rotator Cuff Repair.- How to Avoid and Manage Complications in Arthroscopic Rotator Cuff Repair.