Arthroscopic repair of a significant (&gt;50%) partial-thickness subscapularis tear concomitant with a full-thickness supraspinatus tear: technical considerations for subscapularis repair (transtendon technique versus tear completion)

Kim, Sung Jae; Jung, Min; Lee, Sanghyeon; Park, Jae Han; Chun, Yong-Min

doi:10.1016/j.jse.2014.10.009

Cited by 25 publications

(16 citation statements)

References 26 publications

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“…Significant improvement was observed in all scores. Kim et al (20) reported that ASES score was 90.8±6.5 in patients with RI lesions in the postoperative 2 nd year. Lanz et al (21) reported that postoperative Constant score was 81.2±14.6 in patients who were repaired for anterior superior tears.…”

Section: Discussionmentioning

confidence: 98%

Clinical and Radiological Outcomes in Arthroscopic Repair of Shoulder Rotator İnterval Lesions

Eren¹,

Özben²,

Canbulat³

et al. 2019

Bezmialem Science

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A small number of articles have been published in the literature, due to the rare occurrence of them compared with posteriorsuperior tears. It is suggested that natural course and prognosis are worse than conventional supraspinatus and infraspinatus tears or isolated subcapularis tears (1). Good results are reported in arthroscopic treatment of subcapular tears (3), for this reason, it is thought that RI lesions with similar patho-anatomy will have good results with arthroscopic treatment (3,4

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Section: Discussionmentioning

confidence: 98%

Clinical and Radiological Outcomes in Arthroscopic Repair of Shoulder Rotator İnterval Lesions

Eren¹,

Özben²,

Canbulat³

et al. 2019

Bezmialem Science

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“…The reported clinical and structural results after arthroscopic subscapularis repair are promising with good shoulder function and a high patient satisfaction [22,24,35,41]. The amount of suture anchors used for the repair, however, remains unclear.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of 25 and 50 % subscapularis tears: a single anchor with a double-mattress suture is sufficient for the reconstruction

Lorbach

Trennheuser

Kieb

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…Re-tearing of the tendon reported via MR imaging or CT arthrography ranges from 8% to 35%, with multi-tendon tears, higher patient age, tear size and tear retraction correlating with recurrent tearing. 31 , 48 , 50 , 51 , 56 - 60 Identification and treatment of biceps pathology is not consistently reported in these studies. Thus, the impact of biceps tenotomy or tenodesis remains unclear.…”

Section: Discussionmentioning

confidence: 85%

“…Several more recent series of arthroscopic repairs of isolated subscapularis tears 31 , 48 - 51 and combined repairs of the subscapularis with supraspinatus 32 , 36 , 52 - 60 have shown comparable results. Re-tearing of the tendon reported via MR imaging or CT arthrography ranges from 8% to 35%, with multi-tendon tears, higher patient age, tear size and tear retraction correlating with recurrent tearing.…”

Section: Discussionmentioning

confidence: 94%

Subscapularis tendon tears

Lenart¹,

Ticker

2017

EFORT Open Reviews

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Tears of the subscapularis tendon have been under-recognised until recently. Therefore, a high index of suspicion is essential for diagnosis.A directed physical examination, including the lift-off, belly-press and increased passive external rotation can help identify tears of the subscapularis.All planes on MR imaging should be carefully evaluated to identify tears of the subscapularis, retraction, atrophy and biceps pathology.Due to the tendency of the tendon to retract medially, acute and traumatic full-thickness tears should be repaired. Chronic tears without significant degeneration should be considered for repair if no contraindication exists.Arthroscopic repair can be performed using a 30-degree arthroscope and a laterally-based single row repair; one anchor for full thickness tears ⩽ 50% of tendon length and two anchors for those ⩾ 50% of tendon length.Biceps pathology, which is invariably present, should be addressed by tenotomy or tenodesis.Timing of post-operative rehabilitation is dictated by the size of the repair and the security of the repair construct. The stages of rehabilitation typically involve a period of immobilisation followed by range of movement exercises, with a delay in active internal rotation (IR) and strengthening in IR.Cite this article: EFORT Open Rev 2017;2:484–495. DOI: 10.1302/2058-5241.2.170015

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Arthroscopic repair of a significant (>50%) partial-thickness subscapularis tear concomitant with a full-thickness supraspinatus tear: technical considerations for subscapularis repair (transtendon technique versus tear completion)

Cited by 25 publications

References 26 publications

Clinical and Radiological Outcomes in Arthroscopic Repair of Shoulder Rotator İnterval Lesions

Clinical and Radiological Outcomes in Arthroscopic Repair of Shoulder Rotator İnterval Lesions

Reconstruction of 25 and 50 % subscapularis tears: a single anchor with a double-mattress suture is sufficient for the reconstruction

Subscapularis tendon tears

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