MIRCTs arthroscopy surgery

What shoulder problems are addressed with shoulder arthroscopy?

Shoulder arthroscopy is used to diagnose and treat various conditions including partial thickness rotator cuff tears (RCTs), full thickness RCTs and massive reparable and irreparable RCTs.

Partial and full thickness RCTs Treatment may include one or combination of:

Debridement – Trimming or smoothening of the joint
Biceps tenotomy – release of biceps tendon from the shoulder
Rotator cuff tendon repair – re-attaching or stitching the tendon back to the head of the upper arm bone

Massive irreparable RCTs (MIRCTs) Treatment may include one or combination of:

Debridement – Trimming or smoothening of the joint
Biceps tenotomy – release of biceps tendon from the shoulder
Partial rotator cuff tendon repair or a subacromial balloon spacer

Talk to your doctor about the best treatment suited for your shoulder condition.

What is a subacromial balloon spacer?

A subacromial balloon spacer is an inflatable device made of a biodegradable polymer material to fit different shoulder anatomies. This minimally invasive biodegradable, balloon spacer is used for arthroscopic treatment of MIRCTs. If you are 65 years old or older and have MIRCTs, this may be a treatment option for you.

What happens during surgery?

During a minimally invasive arthroscopic surgery, the subacromial balloon spacer is placed under your shoulder bone. This helps to temporarily reduce rubbing between your shoulder bone and upper arm bone (humerus), thereby relieving pain, enabling bones in your shoulder to glide smoothly and restoring joint movement¹.

Watch the video to know more.

After surgery, the balloon spacer breaks down in your body over time and has been shown to completely break down after about one year.

Like any surgery, this surgery involves risks. Discuss treatment options with your doctor to know if balloon spacer is right for you.

Who cannot have subacromial balloon spacer procedure?

MIRCTs patients below 65 years of age incl. children
Those with known allergy to the balloon spacer material
Those with active infection or tissue death in the shoulder area

Learn more about your treatment options

References:

J Bone Joint Surg Am. Advance online publication. doi. 10.2106/JBJS.21.00667.
American Academy of Orthopaedic Surgeons. Treatment: Shoulder joint replacement. OrthoInfo. orthoinfo.org/en/treatment/shoulder-joint-replacement.
Joseph Iannotti, MD, PhD, Justin Baker, PhD, Eric Rodriguez, BS, John Brems, MD, Eric Ricchetti, MD, Mena Mesiha, MD, and Json Bryon, MS. Three-dimensional pre-operative planning and a novel information transfer technology improve glenoid component positioning.
Hoenecke HR jr1, Hermida JC, Flores-Hernandez C, D’Lima DD. Accuracy of CT based measurements of glenoid version for total shoulder arthroplasty.
Gilles Walch, MD, Peter S. Vereridis, MD, Pascal Boileau, MD, Pierric Derasart, M. Eng, Jean Chaoui, PhD. Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study.
Hendel, et al. Comparison of Patient-Specific Instrumentation with Standard Surgical Instruments in Determining Glenoid Component Position. JBJS 2014; 96:e71(1-8)
Iannotti J, Jun, B.J, Patterson, Ricchetti E. Quantitative measurement of osseous pathology in advanced glenohumeral osteoarthritis. J Bone Elnow Surg. 2017;99:1460-8.
Boileau P, Cheval D, Gauci, MD, Holzer N, Chaoui J, Walch G. Automated three-dimensional of glenoid version and inclination in arthritic shoulders. J Bone Joint Surg. 2018 Jan 3; 100(1) 57-65.
Werner B, Hudek R, Burkhart K, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elbow Arthroplasty. 2017 Feb 7; 28(8): 1477-1483.

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