Rachel M. Frank, M. D. , Eric J. Cotter, B. S. , David Savin, M. D

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Presentation transcript:

Arthroscopic Intramuscular Side-to-Side Repair of an Isolated Infraspinatus Tear Rachel M. Frank, M.D., Eric J. Cotter, B.S., David Savin, M.D., Eamon Bernardoni, M.S., Anthony A. Romeo, M.D. Arthroscopy Techniques Volume 6, Issue 5, Pages e1743-e1748 (October 2017) DOI: 10.1016/j.eats.2017.06.052 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Preoperative (Pre-op) axial view of a T2-weighted magnetic resonance image of the right shoulder showing a full-thickness infraspinatus tear. (B) Same axial slice of a T2-weighted magnetic resonance image of the right shoulder taken at 6 months postoperatively (Post-op) showing repair of the aforementioned isolated infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Preoperative (Pre-Op) coronal T2-weighted magnetic resonance image of the right shoulder showing the full extent of the intramuscular infraspinatus tear. (B) Six-month postoperative (Post-Op) coronal T2-weighted magnetic resonance image of the right shoulder showing repair of the intramuscular infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Preoperative (Pre-op) sagittal T1-weighted magnetic resonance image of the right shoulder showing the intramuscular, full-thickness isolated infraspinatus tear. (B) Same T1-weighted magnetic resonance imaging slice of the right shoulder taken at 6 months postoperatively (Post-op) showing repair of the infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing a large intramuscular, full-thickness infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing passage of the first of 5 polydioxanone sutures for side-to-side repair with a curved suture passer. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing a knot pusher tying down the first of 5 side-to-side No. 2 FiberTape suture tape repair stitches that has been placed. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing a curved suture retriever placing the second of 5 side-to-side repair stitches. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing a curved suture retriever moving into position for placement of the fourth of 5 side-to-side repair stitches to achieve an anatomic repair of the full-thickness infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing the 3 most medial side-to-side No. 2 FiberTape suture tape repair stitches achieving an anatomic repair of a full-thickness infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 10 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing the 2 most lateral side-to-side No. 2 FiberTape suture tape repair stitches achieving an anatomic repair of a full-thickness infraspinatus tear. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 11 Intraoperative arthroscopic image of the right shoulder (beach-chair position) viewed through a standard posterior portal showing a large arthroscopic grasper in position to cut the long head of the biceps tendon from its insertion point. Arthroscopy Techniques 2017 6, e1743-e1748DOI: (10.1016/j.eats.2017.06.052) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions