João Alves*, António Madureira, Alexandre Castro, Raquel Cunha, Eduardo Ferreira, Herculano Nascimento, António Miranda and Tiago Pinheiro Torres
Orthopedics Service, Centro Hospitalar Entre o Douro e Vouga, Santa Maria da Feira, Portugal
*Corresponding Author: João Alves, Orthopedics Service, Centro Hospitalar Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Received: April 03, 2023; Published: May 04, 2023
Introduction: Cystic bony defects of the humeral head are often encountered during rotator cuff arthroscopic repair. These defects may be idiopathic or secondary to suture anchor placement from previous repairs. Some cysts are visible on preoperative magnetic resonance imaging (MRI), but most of them are discovered during footprint preparation or implant removal during surgery. These osseous defects are fragility zones, which reduce biological healing capacity and may decrease repair fixation strength, which may lead to significant treatment problems and sometimes bone grafting is needed to address these defects.
Case presentation: In this article we present a case of a 53-year-old man, with left shoulder pain with 4 months of evolution. He reported no improvement with physical therapy and analgesia. There was no history of trauma. MRI showed that a transfixing tear of the supraspinatus that extended to the infraspinatus, and an expansive formation with a cystic appearance at the level of the head of the humerus. We present an arthroscopic technique to address these defects at the time of rotator cuff repair using a synthetic graft compaction technique with concomitant rotator cuff repair.
Discussion: Despite being relatively rare, we believe that the associated rotator cuff repair and correction of the bone defect, is an asset for the patient and presents good functional results.
Conclusion: Despite the good experience, in this case, more studies should be carried out to understand the benefit of this treatment.
Keywords:Bone Cyst; Rotator Cuff Tear; Bone Graft
Citation: Koão Alves., et al. “Arthroscopic Repair of Rotator Cuff Tear Associated with Grafting of a Bone Cyst of the Proximal Humerus Head: Technical Note”.Acta Scientific Orthopaedics 6.6 (2023): 12-15.
Copyright: © 2023 Koão Alves., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.