Effective Management of Bilateral Massive Irreparable Rotator Cuff Tears through Implantation of Subacromial Balloon Spacers

Abstract

Introduction: Massive irreparable rotator cuff tears are challenging pathologies with many treatment modalities and therapeutic approaches. In patients with certain indications, the subacromial balloon spacer can effectively alleviate pain and improve function, in a manner that may be superior to other management options. Case Report: We report the case of a 64-year-old active male who had previously underwent a subacromial balloon placement in his right shoulder and an arthroscopic rotator cuff repair procedure on his left shoulder. He later presented with persistent pain and disability in his left shoulder and opted to undergo a second subacromial balloon placement on his left side. To the best of our knowledge, this is the first case of bilateral subacromial balloon placement procedure in the literature. Conclusion: The subacromial balloon is a safe treatment modality for irreparable rotator cuff tears, and its introduction into bilateral shoulders can provide an easier recovery and rehabilitation when compared to other more invasive procedures. Keywords: Subacromial balloon, rotator cuff, shoulder, partial cuff repair, interpositional balloon.

The “Balloon Dip”: Insights into a Post-operative Trend in Patients Undergoing Subacromial Balloon Procedure

“…It should alleviate pain and improve function in MIRCT patients to allow them to conduct physical therapy in a more efficient way [ 6 , 7 ]. This accelerated physical therapy can then help procure benefits that can outlast the duration of the balloon’s existence in the joint [ 7 , 10 - 12 ].…”

Improving shoulder function and pain in a paraplegic patient with massive irreparable rotator cuff tear using a subacromial balloon spacer

“…Several treatment options exist, and management is dependent on many factors such as other pathologies of the shoulder, patient demographics, and patient expectations concerning treatment [1]. Recently, a novel treatment option (the "subacromial balloon spacer") was approved by the Food and Drug Administration in the United States [2][3][4][5]. This device involves the introduction of a bioabsorbable inflatable balloon into the glenohumeral joint and filled with saline to relieve acromiohumeral impingement in patients with MIRCTs [2].When deciding on a management plan, accounting for patient factors is crucial for optimizing patient satisfaction and expectations during the treatment period.…”