Arthroscopic Bursal Acromial Reconstruction for Paraplegic Basketball Player: A Case Report

In paraplegic patients, rotator cuff tears are known to be common. Even after rotator cuff repair, the frequent use of crutches or wheelchairs can lead to high stress on the shoulder, increasing the risk of re-tear. This risk is particularly high in athletes using wheelchairs due to the intense usage. Recently, various tension-free interposition graft methods have been introduced to prevent bone-to-bone contact after rotator cuff surgery. Among these, bursal acromial reconstruction using allodermal matrix grafts is noteworthy because the graft is positioned under the acromion, potentially reducing stress on the glenohumeral joint during crutch use. Thus, the authors aim to review the outcomes of rotator cuff repair and bursal acromial reconstruction in a 47-year-old female paraplegic wheelchair basketball player, alongside a literature review.