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This article is the author's final version published in Arthroscopy Techniques, Volume 12, Issue 3, March 2023, Pg. e421 - e432.

The published version is available at Copyright © 2022 THE AUTHORS. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.


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.

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.