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, such as the conversion of mini-open repair to all arthroscopic repair, and answers key questions raised at instructional courses. Experts in the field present not only arthroscopic shoulder anatomy, cuff tear patterns, repair concepts, and other fundamentals, but also provide coverage of state-of-the-art techniques. The step-by-step approach is supplemented by a wealth of anatomical drawings and color photos.

A text on the rotator cuff, with nine chapters written by Burkhead himself, and the remaining 24 chapters contributed by nationally and internationally recognized physicians and shoulder surgeons. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of cuff defects and impingement syndrome (2 chapters); arthroscopic management of rotator cuff disease (1 chapter); and surgical management of massive cuff tears and degeneration (13 chapters). Thoroughly illustrated in bandw, with extensive chapter references. Annotation copyright by Book News, Inc., Portland, OR

A valuable collection of up-to-date information by leading international experts The history of rotator cuff tendinopathy started more than 150 years ago, when some types of shoulder pain were attributed to rupture of the rotator cuff tendon'. In the third millennium, the pathogenetic mechanisms leading to rotator cuff problems are still debated. Although conservative measures are the first-line therapy, poor spontaneous tendon healing and progression from partial- thickness to full-thickness tears may mandate surgery. Biological, biomechanical and clinical studies have been conducted to establish the superiority of one technique over the other, but no clinical differences have been found. Although we know more about the pathogenesis, diagnosis and management of rotator cuff pathology, our efforts should be directed at trying to find the treatment that best fits the specific needs of each patient. This book collects current reviews on rotator cuff problems, with regard to both biological and clinical aspects, and provides practical hints on management and rehabilitation for sports physicians, surgeons, physiotherapists and athletic trainers.

This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists.

In this issue of Clinics in Sports Medicine, Dr. Stephen Brockmeier from the University of Virginia has assembled a group of experts to provide the latest updates on Rotator Cuff Surgery. This issue begins with the epidemiology and natural history of rotator cuff tears, followed by articles on: Imaging Evaluation of the Rotator Cuff; Arthroscopic Rotator Cuff Repair: Techniques in 2012; Biologics in the Management of Rotator Cuff Surgery; Outcomes of Rotator Cuff Surgery: What Does the Evidence Tell Us?; Rotator Cuff Injury in the Overhead Athlete; Failed Rotator Cuff Surgery, Evaluation and Decision-Making; Revision Rotator Cuff Repair; Non-Arthroplasty Options for the Management of Massive and Irreparable Rotator Cuff Tears; and Reverse Total Shoulder Arthroplasty for Irreparable Rotator Cuff Tears and Cuff Tear Arthroplasty.

This book offers a truly comprehensive overview of the understanding and treatment of massive and irreparable rotator cuff tears, a painful and disabling shoulder condition that continues to pose major challenges. A thorough examination of basic science issues and evidence lays the foundation for discussion of key controversies in the field and exposition of a practical approach to treatment in which the role of both conservative and surgical management is explained. Special insights are provided into the new biological and nonoperative approaches that are becoming increasingly popular among practitioners. All potential surgical techniques are described, from partial repair and tendon transfer, to the use of dedicated implants. In addition, the value of anesthesia and regional blocks, both during surgery and in the postoperative phase, is discussed. The concluding section addresses particularly complex scenarios and offers guidance on the management of treatment complications and failures. Written by leading international shoulder experts, the book will be of value for shoulder surgeons, rehabilitators, and other health care practitioners.

Rotator cuff surgery is currently the most common surgical procedure involving the shoulder. Unfortunately despite major technical advances, there is still a significant rate of failure of primary rotator cuff repair, ranging from 10% to 40%. This book describes the diagnosis, classification, assessment, and management of failed rotator cuff repairs. It also explores the etiology of the failed repairs, presents a series of treatment options, and discusses the complications. In a multidisciplinary format it addresses both how to prevent failure and how to diagnose and manage the failed rotator cuff, including imaging, laboratory testing, nutrition, surgery and rehabilitation. This comprehensive book, published in collaboration with ISAKOS, appeals to all stakeholders in orthopedic medicine and surgery.

"A practical reference guide for orthopedic surgeons, fellows, and residents specializing in shoulder injuries, Premier Approaches to Arthroscopic Rotator Cuff Repair explains the latest techniques in arthroscopic surgery for rotator cuff repair and incorporates evidence-based analysis to help readers select the best surgical techniques for their patients. Rotator cuff disease is common and debilitating, but postoperative retear rates remain high. While technological advances have led to an increase in popularity and prominence of arthroscopic rotator cuff repair, the procedures are technically demanding and require a steep learning curve. The text concludes with a chapter on rehabilitation after rotator cuff repair that underscores the importance of a progressive program, individualized to each patient and coordinated among the surgeon, therapist, and patient"--