An Arthroscopic Humeral Medializing Repair of the Supraspinatus

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An Arthroscopic Humeral Medializing Repair of the Supraspinatus Amir Ghazanfari, M.D., Daniel J.H. Henderson, M.D., Geoffroy Nourissat, M.D. Arthroscopy Techniques Volume 6, Issue 6, Pages e2211-e2215 (December 2017) DOI: 10.1016/j.eats.2017.08.029 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Coronal view of the right shoulder on magnetic resonance imaging showing a midsubstance tear (arrow) of the supraspinatus tendon with severe retraction. (G, glenoid; HH, humeral head.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Sagittal scapular Y-view of the right shoulder on magnetic resonance imaging showing no fatty degeneration (asterisk) of the supraspinatus muscle. (IS, infraspinatus muscle; SSC, subscapularis muscle.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Lateral view of the right shoulder with the patient in the beach-chair position showing superficial release of the supraspinatus tendon (SST) with bursectomy and scapular spine visualization. Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Lateral view of the right shoulder with the patient in the beach-chair position showing peri-glenoid release of the supraspinatus tendon (SST) with capsulotomy and release of the coracohumeral ligament. (BT, biceps tendon; G, glenoid; HH, humeral head.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Lateral view of the right shoulder with the patient in the beach-chair position showing reducibility testing of the supraspinatus tendon (SST). The retracted tendon cannot be fixed on the footprint. (HH, humeral head.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Lateral view of the right shoulder with the patient in the beach-chair position showing bone bed preparation with preservation of subchondral bone. (HH, humeral head; SST, supraspinatus tendon.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 Lateral view of the right shoulder with the patient in the beach-chair position showing anchor (A) positioning in the humeral head (HH). (SST, supraspinatus tendon.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 Lateral view of the right shoulder with the patient in the beach-chair position showing suturing of the superficial layer (SL) and deep layer (DL) of the delaminated supraspinatus tendon with a CleverHook (CH). (HH, humeral head.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 Lateral view of the right shoulder with the patient in the beach-chair position showing the final aspect of the supraspinatus tendon (SST) after humeral medializing repair with Mason-Allen sutures. (HH, humeral head.) Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 10 Postoperative coronal view of the right shoulder on magnetic resonance imaging after humeral medializingrepair of the supraspinatus tendon, showing good healing of the tendon (arrow). Arthroscopy Techniques 2017 6, e2211-e2215DOI: (10.1016/j.eats.2017.08.029) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions