The 2-Scope Technique for Rotator Cuff Surgery: Are 2 Scopes Better Than 1?

Gumina, Stefano; Rionero, Marco; Candela, Vittorio · Arthrosc Tech · 2020

expert_opinion · Level V

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Abstract

The arthroscopic treatment of rotator cuff tear involves 2 distinct phases: intra-articular and subacromial. We present the 2-scope technique with the aim to simultaneously perform these phases, entrusting them to 2 experienced surgeons, and to obtain possible benefits compared with the classic 1-scope technique. Better nosology of the lesion and a more accurate evaluation of suture passer action (equidistance of the sutures and avoidance of degenerated articular-side tendon areas) represent benefits of this technique. In contrast, the 2-scope technique needs an additional lateral portal and could give rise to an erroneous distribution of costs and surgeons.

Anatomy