Hytham Salem, B. A. , Aaron Carter, M. D. , Fotios Tjoumakaris, M. D

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Presentation transcript:

Double-Row Repair Technique for Bursal-Sided Partial-Thickness Rotator Cuff Tears  Hytham Salem, B.A., Aaron Carter, M.D., Fotios Tjoumakaris, M.D., Kevin B. Freedman, M.D.  Arthroscopy Techniques  Volume 7, Issue 3, Pages e199-e203 (March 2018) DOI: 10.1016/j.eats.2017.08.068 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 With the patient in the beach chair position, arthroscopic imaging from the lateral viewing portal shows a partial-thickness bursal-sided rotator cuff tear of the left supraspinatus tendon after debridement. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 With the patient in the beach-chair position, arthroscopic imaging from the lateral viewing portal shows the placement of a triple-loaded Healix Advance 5.5-mm Peek Suture Anchor with Orthocord (DePuy Mitek) placed at the most medial margin of the intact supraspinatus tendon insertion to create the medial row. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic imaging of the left shoulder from the lateral viewing portal shows the placement of 3 individual horizontal mattress sutures placed through the rotator cuff tissue. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic imaging of the left shoulder from the lateral viewing portal shows the placement of a lateral-row anchor with an additional suture incorporated into the lateral-row anchor at the time of insertion to further reduce the cuff tissue to the footprint. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic imaging of the left shoulder from the lateral viewing portal shows the completed repair of a partial-thickness bursal-sided rotator cuff tear with 2 lateral anchors. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic imaging of a right shoulder from the lateral viewing portal shows the completed repair of a partial-thickness rotator cuff tear with a single lateral-row suture anchor. Arthroscopy Techniques 2018 7, e199-e203DOI: (10.1016/j.eats.2017.08.068) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions