The Failed Rotator Cuff

Felix H. Savoie III is an internationally-recognized expert on shoulder and elbow surgery, and sports medicine.  He moved to the Tulane University School of Medicine in 2007, after Hurricane Katrina, to take on the role of Professor of Clinical Orthopedics, Chief of the Division of Sports Medicine, and Director of the Tulane Institute of Sports Medicine.  In 2015, he was made Chairman of the Department of Orthopedics, and in 2016 he was made the Ray J. Haddad Professor of Orthopedics. Dr. Savoie was the 2016-17 President of the American Shoulder and Elbow Society, President of the Arthroscopy Association of North America (AANA), and President of the Orthopedic Learning Center. He has served on the board of directors of AANA and the International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS). He is a member of the American Academy of Orthopedic Surgeons (AAOS) and the American Orthopedic Society for Sports Medicine (AOSSM). He serves on the Sports Medicine Advisory Committee of the Louisiana High School Athletic Association. Emilio Calvo is the Director of the Shoulder and Elbow Reconstructive Surgery Unit and Professor of Orthopedics at the Department of Orthopedic Surgery of at Fundacion Jimenez Diaz, a teaching hospital affiliated with the Autonomous University of Madrid. He is an active member of national and international scientific societies, like the European Society for Surgery of the Shoulder and Elbow (ESSSE), the American Shoulder and Elbow Surgeons (ASES), the European Society for Sports and Knee Arthroscopy (ESSKA), and the International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS). He has served as a member of the ESSSE Program Committee and the ISAKOS Upper Extremity Committee. Augustus Mazocca is a Professor at the Department of Orthopedic Surgery at UConn Health. He is the Director of the Orthopedic Bioskills Laboratory, and Director of Resident Education for the Department of Orthopedic Surgery. He is also an active team physician for the UConn athletic teams. He specializes in the management of shoulder and elbow problems. He is a member of the prestigious American Shoulder and Elbow Surgeons Society, as well as being a member of the European Society for Surgery of the Shoulder and Elbow. He is a co-founder of the New England Shoulder and Elbow Society.

I Basic Science.- 1 Anatomy of the rotator cuff/ Blood supply.- 2 International perspective of failure.-3 Biomechanical Consequences of rct on the gh joint.- 4 New Concepts in Biology of repair.- 5 Reasons for failure of repair.- 6 Imaging of the failed rotator cuff.- 7 Biomechanics of repair failure.- II Soft tissue procedures for the failed RCR.- 8 Debridement / tentotomy.- 9 Revision repair.- 10 Repair and augmentation: overview.- 11 Releases and debridement to set up for revision success.- 12 Repair with biologic augment.- 13 Repair with interposition graft.- 14 Repair with biceps graft.- 15 SCR : dermal patch.- 16 SCR with IT band.- 17. Synthetic options.- 18 Balloon.- III Muscle transfers.- 19 LD transfer.- 20 Lower trap transfer.- IV Replacement options.- 21 ESR HH when and how.- 22 Standard RSP.- 23 Lateralized RSP: glenoid side, European experience.- 24 Lateralized RSP : The US experience.- V Complications.- 25 Overview of complications of managing the failed rotator cuff.- 26Stiffness after rcr.- 27 Infection : Diagnosis and management of the failed infected rcr.- 28 RSP failure Instabilty.- 29 Catastrophic failure / Infection of RSP.- 30 Resection arthroplasty vs arthrodesis vs amputation.- 31 Rehabilitation of the paitent with a failed rc.