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Shoulder Surgery- Full Thickness Rotator Cuff Tear Repair
The surgical case preview presented involves a deltopectoral approach as the patient's tear involved the anterior portion of the subscapularis tendon. Because the injury occurred 5 months previously, the procedure is challenging as the bursal tissue has thickened considerably causing identification of tendinous tissues difficult. In addition the possibility of a muscle transfer remains a possibility until the repair is completed and the resulting cuff tension evaluated.
This video is an excellent tool in reviewing the critical steps of open rotator cuff repair, namely tendon identification and mobilization, removal of bursal tissue, tendon releases, relaxing incisions, capsular releases and transposition of tissue.
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