Massive Tears of the Rotator Cuff

by Asheesh Bedi, Joshua Dines, Russell F. Warren, and David M. Dines

J Bone Joint Surg AmVolume 92(9):1894-1908

August 4, 2010

©2010 by The Journal of Bone and Joint Surgery, Inc.

Fat-suppressed coronal magnetic resonance image demonstrating a massive irreparable rotator cuff tear of the left shoulder.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Corresponding arthroscopic photograph of a massive rotator cuff tear of the left shoulder as viewed from a lateral portal.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

T1-weighted sagittal image of a massive rotator cuff tear with extensive fatty atrophy of both the supraspinatus and the infraspinatus muscle belly.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Photograph of a patient with static anterosuperior escape of the humeral head and detachment of the anterior deltoid origin.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Partial repair of a massive rotator cuff tear.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative arthroscopic photograph of a massive L-shaped rotator cuff tear that has been repaired with multiple margin convergence sutures followed by suture anchor repair of the

tendon to the osseous footprint.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Latissimus dorsi tendon transfer technique.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Technique for subcoracoid pectoralis major transfer.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the left shoulder, demonstrating rotator cuff arthropathy.

Asheesh Bedi et al. J Bone Joint Surg Am 2010;92:1894-1908

©2010 by The Journal of Bone and Joint Surgery, Inc.