Abstract
Cysts of the greater tuberosity can be a normal finding independent of age and concurrent
rotator cuff tear. The presence of a large greater tuberosity cyst can present a challenge
at the time of rotator cuff repair. We present a 1-step arthroscopic technique to
address these defects at the time of rotator cuff repair using a synthetic graft (OsteoBiologics,
San Antonio, TX) originally designed to address osteoarticular defects. With the viewing
portal established laterally, a portal allowing perpendicular access to the cyst is
established. The cyst is thoroughly debrided, and a drill sleeve is then introduced
perpendicular to the surrounding bone, serving as a guide for the matching drill to
create a circular socket. A correspondingly sized TruFit BGS cylindrical implant (OsteoBiologics)
is then implanted by use of the included instrumentation. The scaffold is placed flush
with the surrounding bone. Because our arthroscopic rotator cuff protocol uses a tension-band
technique with placement of suture anchors distal and lateral to the rotator cuff
footprint, we are subsequently able to proceed with routine rotator cuff repair.
Key Words
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Article info
Publication history
Published online: March 06, 2007
Footnotes
The authors report no conflict of interest.
Cite this article as: Agrawal V, Stinson M. Arthroscopic grafting of greater tuberosity cyst and rotator cuff repair. Arthroscopy 2007;23:904.e1-904.e3 [doi:10.1016/j.arthro.2006.10.026].
Identification
Copyright
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
