The InSpace Balloon: Useful Augmentation or First-Line Therapy?

Hazra, Rony-Orijit Dey; Hazra, Maria E. Dey; Hanson, Jared A.; Millett, Peter J.

doi:10.2106/jbjs.22.00381

Cited by 3 publications

(6 citation statements)

References 6 publications

(13 reference statements)

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“…Participants underwent a partial tendon repair or an InSpace balloon insertion. ASES scores improved for both groups; however, a larger increase was noted for the InSpace group (46.22 vs. 42.53) [41]. InSpace implants also demonstrated functional and patient-reported outcomes comparable to partial repair of irreparable massive rotator cuff tears with intact subscapularis [41].…”

Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 85%

“…InSpace implants also demonstrated functional and patient-reported outcomes comparable to partial repair of irreparable massive rotator cuff tears with intact subscapularis [41]. The InSpace device group demonstrated an earlier recovery based on improvements in ASES, WORC, and constant scores [41]. The range of motion measurements was also superior [41].…”

Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 88%

“…ASES scores improved for both groups; however, a larger increase was noted for the InSpace group (46.22 vs. 42.53) [41]. InSpace implants also demonstrated functional and patient-reported outcomes comparable to partial repair of irreparable massive rotator cuff tears with intact subscapularis [41]. The InSpace device group demonstrated an earlier recovery based on improvements in ASES, WORC, and constant scores [41].…”

Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 89%

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Treatment of Rotator Cuff Tears: New Modalities and Innovations

Young Jin Lee,

Zamzam,

et al. 2024

Arthroscopic Surgery - New Perspectives

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Although frequently performed, rotator cuff repair carries a not insignificant failure rate. A number of studies including biomechanical and clinical studies have attempted to identify factors affecting rotator cuff repair and healing. Poor prognostic factors likely include age, fatty atrophy of rotator cuff muscles, large tear size, chronicity, and smoking. Recent rotator cuff tear research has been devoted to addressing both biologic and structural concerns of repair. Adjuvant repair techniques aimed at improving biology have emerged, and many are now clinically available and include biologic patch augmentation, bone marrow aspirate, platelet-rich plasma, and utilizing local bone marrow egress. Novel structural techniques have been developed to augment, alter, or replicate the structural properties of rotator cuff, particularly in the setting of irreparable rotator cuff tears. These include subacromial balloon spacers, tendon transfers, superior capsular reconstruction, anterior cable reconstruction, bursal acromial reconstruction, and biologic tuberoplasty. This chapter will examine these novel biological and structural techniques and review available clinical outcomes.

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Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 85%

Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 88%

Section: The Subacromial Balloon Spacer For Irreparable Rotator Cuff ...mentioning

confidence: 89%

See 1 more Smart Citation

Treatment of Rotator Cuff Tears: New Modalities and Innovations

Young Jin Lee,

Zamzam,

et al. 2024

Arthroscopic Surgery - New Perspectives

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“…Several factors can explain the etiology of the “balloon dip.” One major factor is balloon resorption. The subacromial balloon spacer is made out of a biodegradable polymer material that is expected to be completely absorbed in the joint by 12 months [ 1 , 2 , 6 , 8 , 9 ]. However, it has been suggested that the balloon begins to resorb by 3 months, and this deflation may lead to the increase in pain seen in dipping patients [ 1 , 2 , 6 , 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The subacromial balloon spacer is made out of a biodegradable polymer material that is expected to be completely absorbed in the joint by 12 months [ 1 , 2 , 6 , 8 , 9 ]. However, it has been suggested that the balloon begins to resorb by 3 months, and this deflation may lead to the increase in pain seen in dipping patients [ 1 , 2 , 6 , 8 , 9 ]. Upon deflation, the balloon may lose some of its spacer properties, and hence, some patients may re-experience some of the symptoms felt before their procedure.…”

Section: Discussionmentioning

confidence: 99%

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

Fares,

Koa,

Singh

et al. 2024

jocr

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Introduction: The subacromial balloon is a novel therapeutic device that is used in patients with massive irreparable rotator cuff tears (MIRCTs). The novelty of this device implies that there is still a lot to be known about its mechanism of action and rehabilitation trends. One rehabilitation trend that has been noticed is the “balloon dip”, where a patient exhibits exacerbations in pain and function around 3 months following balloon implantation and after having experienced earlier symptomatic relief post-operative. We discuss the clinical, diagnostic, and therapeutic aspects of the patient’s management while providing additional insight into this prognostic trend. Case Report: In this report, we present the case of a 65-year-old male patient who underwent a subacromial balloon procedure for a MIRCT. During his recovery, the patient exhibited a classic “balloon dip” evident by an exacerbation of pain and function around the 3-month mark. After a notable deterioration in pain and function, the patient was examined, reassured, and educated on the importance of adhering to physical therapy. He was able to successfully recover and showed gradual improvement in pain and function along the course of the year. Conclusion: The “balloon dip” is a rehabilitation pattern that occurs 3–6 months following subacromial balloon spacer implantation. In the majority of cases, careful clinical assessment, watchful monitoring, and education on the importance of following up with physical therapy are sufficient to overcome the dip. Keywords: Subacromial balloon, balloon dip, deflation, shoulder, balloon resorption.

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