Massive irreparable rotator cuff tears pose a significant challenge for both the treating orthopedic surgeon and patient. Surgical treatment options for massive rotator cuff tears include arthroscopic debridement, biceps tenotomy or tenodesis, arthroscopic rotator cuff repair, partial rotator cuff repair, cuff augmentation, tendon transfers, superior capsular reconstruction, subacromial balloon spacer, and ultimately reverse shoulder arthroplasty. The present study will provide a brief overview of these treatment options along with a description of the surgical technique for subacromial balloon spacer placement

Abboud, Joseph A.

Farronato, Dominic M.

Pezzulo, Joshua D.

Rondon, Alexander J.

Jefferson Digital Commons

1 12/13/2021 ICMJE Disclosure Form ICMJE DISCLOSURE FORM Date: 5/19/2022 Your Name: Alexander Rondon MD  Manuscript Title: Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique Manuscript Number (if known): Click or tap here to enter text. In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the content of your manuscript.  “Related” means any relation with for-profit or not-for-profit third parties whose interests may be affected by the content of the manuscript.  Disclosure represents a commitment to transparency and does not necessarily indicate a bias.  If you are in doubt about whether to list a relationship/activity/interest, it is preferable that you do so.  The author’s relationships/activities/interests should be defined broadly.  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Farronato Manuscript Title: Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique Manuscript Number (if known): Click or tap here to enter text. In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the content of your manuscript.  “Related” means any relation with for-profit or not-for-profit third parties whose interests may be affected by the content of the manuscript.  Disclosure represents a commitment to transparency and does not necessarily indicate a bias.  If you are in doubt about whether to list a relationship/activity/interest, it is preferable that you do so.  The author’s relationships/activities/interests should be defined broadly.  For example, if your manuscript pertains to the epidemiology of hypertension, you should declare all relationships with manufacturers of antihypertensive medication, even if that medication is not mentioned in the manuscript.  In item #1 below, report all support for the work reported in this manuscript without time limit.  For all other items, the time frame for disclosure is the past 36 months.   Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) Time frame: Since the initial planning of the work 1 All support for the present manuscript (e.g., funding, provision of study materials, medical writing, article processing charges, etc.)  No time limit for this item. ☒ None       Click the tab key to add additional rows.  Time frame: past 36 months 2 Grants or contracts from any entity (if not indicated in item #1 above). ☒ None         3 Royalties or licenses ☒ None         5 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 4 Consulting fees ☒ None           5 Payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events ☒ None         6 Payment for expert testimony ☒ None         7 Support for attending meetings and/or travel ☐ None         8 Patents planned, issued or pending ☒ None         9 Participation on a Data Safety Monitoring Board or Advisory Board ☒ None         10 Leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid ☒ None         6 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 11 Stock or stock options ☒ None         12 Receipt of equipment, materials, drugs, medical writing, gifts or other services ☒ None         13 Other financial or non-financial interests ☒ None            Please place an “X” next to the following statement to indicate your agreement: ☒ I certify that I have answered every question and have not altered the wording of any of the questions on this form.    7 12/13/2021 ICMJE Disclosure Form ICMJE DISCLOSURE FORM Date: 5/19/2022 Your Name: Joshua D. Pezzulo Manuscript Title: Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique Manuscript Number (if known): Click or tap here to enter text. In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the content of your manuscript.  “Related” means any relation with for-profit or not-for-profit third parties whose interests may be affected by the content of the manuscript.  Disclosure represents a commitment to transparency and does not necessarily indicate a bias.  If you are in doubt about whether to list a relationship/activity/interest, it is preferable that you do so.  The author’s relationships/activities/interests should be defined broadly.  For example, if your manuscript pertains to the epidemiology of hypertension, you should declare all relationships with manufacturers of antihypertensive medication, even if that medication is not mentioned in the manuscript.  In item #1 below, report all support for the work reported in this manuscript without time limit.  For all other items, the time frame for disclosure is the past 36 months.   Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) Time frame: Since the initial planning of the work 1 All support for the present manuscript (e.g., funding, provision of study materials, medical writing, article processing charges, etc.)  No time limit for this item. ☒ None       Click the tab key to add additional rows.  Time frame: past 36 months 2 Grants or contracts from any entity (if not indicated in item #1 above). ☒ None         3 Royalties or licenses ☒ None         8 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 4 Consulting fees ☒ None           5 Payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events ☒ None         6 Payment for expert testimony ☒ None         7 Support for attending meetings and/or travel ☐ None         8 Patents planned, issued or pending ☒ None         9 Participation on a Data Safety Monitoring Board or Advisory Board ☒ None         10 Leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid ☒ None         9 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 11 Stock or stock options ☒ None         12 Receipt of equipment, materials, drugs, medical writing, gifts or other services ☒ None         13 Other financial or non-financial interests ☒ None            Please place an “X” next to the following statement to indicate your agreement: ☒ I certify that I have answered every question and have not altered the wording of any of the questions on this form.    10 12/13/2021 ICMJE Disclosure Form ICMJE DISCLOSURE FORM Date: 5/19/2022 Your Name: Joseph Abboud MD Manuscript Title: Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique Manuscript Number (if known): Click or tap here to enter text. In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the content of your manuscript.  “Related” means any relation with for-profit or not-for-profit third parties whose interests may be affected by the content of the manuscript.  Disclosure represents a commitment to transparency and does not necessarily indicate a bias.  If you are in doubt about whether to list a relationship/activity/interest, it is preferable that you do so.  The author’s relationships/activities/interests should be defined broadly.  For example, if your manuscript pertains to the epidemiology of hypertension, you should declare all relationships with manufacturers of antihypertensive medication, even if that medication is not mentioned in the manuscript.  In item #1 below, report all support for the work reported in this manuscript without time limit.  For all other items, the time frame for disclosure is the past 36 months.   Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) Time frame: Since the initial planning of the work 1 All support for the present manuscript (e.g., funding, provision of study materials, medical writing, article processing charges, etc.)  No time limit for this item. ☒ None       Click the tab key to add additional rows.  Time frame: past 36 months 2 Grants or contracts from any entity (if not indicated in item #1 above). ☒ None         3 Royalties or licenses ☐ None  DJ Orthopaedics SLACK Inc Globus Medical Smith & Nephew OsteoCentric Technologies Stryker Wolters Kluwer Health Zimmer  11 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 4 Consulting fees ☐ None  Bioventus DJ Orthopaedics Globus Medical Stryker Zimmer     5 Payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events ☒ None         6 Payment for expert testimony ☒ None         7 Support for attending meetings and/or travel ☒ None         8 Patents planned, issued or pending ☒ None         9 Participation on a Data Safety Monitoring Board or Advisory Board ☒ None         10 Leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid ☐ None  American Shoulder and Elbow Society Foundation American Shoulder and Elbow Surgeons Journal of Shoulder and Elbow Arthroplasty Journal of Shoulder and Elbow Surgery Mid Atlantic Shoulder and Elbow Sicety Orthopedics Today  12 12/13/2021 ICMJE Disclosure Form  Name all entities with whom you have this relationship or indicate none (add rows as needed) Specifications/Comments (e.g., if payments were made to you or to your institution) 11 Stock or stock options ☐ None  Aevumed Marlin Medical Alliance, LLC OBERD OTS Medical Shoulder JAM LLC   12 Receipt of equipment, materials, drugs, medical writing, gifts or other services ☒ None         13 Other financial or non-financial interests ☐ None  Arthrex, INC Department of Defense Integra LIMA OREF Orthofix INC Orthospace Zimmer     Please place an “X” next to the following statement to indicate your agreement: ☒ I certify that I have answered every question and have not altered the wording of any of the questions on this form.   

Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique

https://jdc.jefferson.edu/cgi/viewcontent.cgi?filename=0&article=1206&context=rothman_institute&type=additional

Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique

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