Monday, July 8, 2019

Massive rotator cuff tear and the smooth and move

As demonstrated in the prior post, our experience with the smooth and move procedure in individuals with massive cuff tears and retained active elevation has revealed that most of these individuals regain durable shoulder function.

Recently we saw a man 12 years after a smooth and move procedure for a cuff defect extending from the upper aspect of the subscapularis all the way across to the lower third of the infraspinatus.

His preoperative MRI is shown here




He dropped by the office to show us his shoulder function and gave us the opportunity to obtain and share this video.




He rated his shoulder as 10 out of 12 on the Simple Shoulder Test, his two "no" responses were (1) unable to throw 20 yards overhand with this non-dominant shoulder and (2) unable to lift 8 pounds over head.

We continue to favor this procedure instead of patch grafting, superior capsular reconstructions, or reverse total shoulder for individuals with massive cuff tears and retained active elevation.

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We have a new set of shoulder youtubes about the shoulder, check them out at this link.

Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link

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