Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

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Presentation transcript:

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures Murat Bozkurt, M.D., Ahmet Firat, M.D., Safa Gursoy, M.D., Mustafa Akkaya, M.D. Arthroscopy Techniques Volume 4, Issue 5, Pages e589-e593 (October 2015) DOI: 10.1016/j.eats.2015.07.004 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) An articular-sided partial cuff tear of the supraspinatus tendon in the right shoulder of a 44-year-old male patient in the beach-chair position is monitored from the glenohumeral joint through the posterior portal view. Arrows show the articular side partial cuff tear. (B) An 18-gauge spinal needle is inserted through the articular tear to reach the joint through the subacromial interval for placement of Prolene suture for marking. Arthroscopy Techniques 2015 4, e589-e593DOI: (10.1016/j.eats.2015.07.004) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Posterior portal view along with subacromial interval view after debridement. Arrow shows the Prolene suture that is inserted through the articular tear to reach the subacromial interval. (B) View through lateral portal after placement of 4.5-mm anchor aligning it to marking suture. (C) First penetration through BirdBeak from anterior to posterior. The exit point of the BirdBeak is monitored within the circle anteromedially. (D) Movement of first strand using arthroscopic carrier device. Arthroscopy Techniques 2015 4, e589-e593DOI: (10.1016/j.eats.2015.07.004) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Sequence of subsequent steps through lateral portal. (A) The second penetration passes between the peak and base of the triangle with a narrower angle. Arrow shows the exit point of the BirdBeak. (B) Movement of second strand with arthroscopic carrier device. (C) View of triangular shape. (D) View after suture tying. Arthroscopy Techniques 2015 4, e589-e593DOI: (10.1016/j.eats.2015.07.004) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions