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Lennard Funk
• Boutonniere
• Loss of suspension
bridge (force couple)
• LHB subluxes
• Subscap tears
• muscles atrophy
• fixed instability
• bone softens
Massive Cuff Tear
(>5cm)
IRREPERABLE CUFF TEARS
Loss of Teres Minor - Postero-inferior Cuff:
1. +ve Hornblower’s Sign
2. MRI (fatty infiltration & retraction???)
3. Arthroscopy (subjective)
SURGEON CONCERNS
Fatty infiltration
Muscle Atrophy
Retraction
Recurrences
Healing
PATIENT CONCERNS
PAIN FUNCTION
TREATMENT OPTIONS
1. Deltoid Rehabilitation
2. Partial Repair
3. Debridement - Humeroplasty, ASD, Biceps Tenotomy
4. Tendon Transfers
5. Synthetic Patches
6. Reverse Arthroplasty
7. Superior Capsular Reconstruction
8. InSpace Balloon
CONSIDERATIONS
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
REPAIR
YOUNG
OLD
LAT
DORSI
DEBRIDE
DELTOID
REHAB
REVERSE
SCRCBALLOON
PAIN WEAK
HORN-
BLOWERAGE
DECISIONS
Deltoid Rehab Painless
Need Deltoid
Compliant Patient
Debridement +
Deltoid Rehab
Pain
Need Deltoid, 

Compliant Patient
Partial Repair Pain
Need Deltoid, 

Compliant Patient

Long rehab & recovery
Tendon Transfer Pain
above +

risk of open surgery

Synthetic
Augmentation
Function

(? Pain)
above +

Cost vs. Benefit?

Xenograft/Allograft Risks
Reverse
Arthroplasty
Pain +

Function
Predictable Results

? Long-term
DELTOID REHAB
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
DEBRIDEMENT
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
REPAIR
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
LAT DORSI TRANSFER
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
REVERSE ARTHROPLASTY
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
SCRC
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
INSPACE BALLOON
PAIN FUNCTION
AGE
SMOKING
COMORBID
STIFFNESS
HORN-
BLOWER
EXAM
RETRAC-
TION
FATTY
ATROPHY
MRI
REPAIR
YOUNG
OLD
LAT
DORSI
DEBRIDE
DELTOID
REHAB
REVERSE
SCRCBALLOON
PAIN WEAK
HORN-
BLOWERAGE
THANKYOU
@theshoulderdoc

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