Is routine coracoplasty necessary in isolated subscapularis tears?

Ayanoğlu, Tacettin; Ataoğlu, Muhammet Baybars; Özer, Mustafa; Çetinkaya, Mehmet; Kaptan, Ahmet Yiğit; Kanatlı, Ulunay

doi:10.5606/ehc.2019.64710

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…Tollemar et al [21] reported a similar 11 CHD mm and 16 mm CO in both groups and concluded that coracoplasty may not be a necessary part of subscapularis tear repair. Ayanoglu et al [22] evaluated 57 patients with isolated subscapularis tears and concluded that concomitant coracoplasty during arthroscopic repair may not be a necessary routine. Similarly, although the postoperative CHD distance increased to 8.4 mm from 6.5 mm, the effect of coracoplasty on functional results or re-rupture of the subscapularis tendon repair could not be shown.…”

Section: Discussionmentioning

confidence: 99%

The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear

Açan,

Hapa,

Gursan

et al. 2024

Medicine

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Subcoracoid impingement leads to anterior shoulder pain, and arthroscopic subcoracoid decompression (coracoplasty) is the preferred treatment in recalcitrant cases. The purpose of the present study was to evaluate the effect of coracoplasty on the severity of anterior shoulder pain and the strength of the subscapularis muscle and to correlate it with the preoperative and postoperative coracohumeral distance (CHD) (t:transverse, s:sagittal). Sixteen patients without any subscapularis tendon tears who underwent arthroscopic subcoracoid decompression and rotator cuff repair with 2 years follow-up were included. Preoperative and postoperative 2-year assessments of function and pain were performed using the modified Kennedy–Hawkins test, power grading of various subscapularis muscle tests, and ASES scores. Preoperative and postoperative coracohumeral distance (tCHD, sCHD) and coracoid overlap (CO) were measured using MRIs before and after surgery. The Mean Hawkins pain score and coracoid overlap were decreased. The strength scores for subscapularis strength testing, ASES score, maximum degree of internal rotation, and coracohumeral distance increased (P < .05). Changes in belly press strength were negatively correlated with postoperative tCHD (r = −0.6, P = .04) and postoperative sCHD (r = −0.7, P = .008). A significant increase in the internal rotation range of the shoulder, subscapularis strength, and relief of anterior shoulder pain was observed. However, this increase was inversely proportional to the postoperative CHD, indicating the mechanical effect of the coracoid on subscapularis strength.

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Section: Discussionmentioning

confidence: 99%

The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear

Açan,

Hapa,

Gursan

et al. 2024

Medicine

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“…The subcoracoid impingement syndrome has gained attention as a research area in shoulder diseases [1][2][3][4]. It was rst proposed by Professor Goldthwait in 1909 [5]. The clinical manifestations of this syndrome include anterior shoulder pain and shoulder joint forward exion or internal rotation dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Therapeutic Efficacy of Arthroscopic Repair of the Subscapularis Tendon Combined with Coracoplasty

Zheng,

Liu,

et al. 2024

Preprint

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Objective: The purpose of this study was to analyze the outcomes of arthroscopic subscapularis tendon repair combined with coracoplasty in the treatment. Methods: The study included 80 patients (46 males, 34 females; age range 33 to 73 years old), they underwent arthroscopic repair for subscapularis tear (typeⅠ，typeⅡ and type Ⅲ) presenting with symptoms of anterior shoulder pain and tenderness. Subcoracoid impingement was defined as a coracohumeral distance of less than 6 mm on the preoperative magnetic resonance image, and the follow-up was at least two years. Patients included two groups: Group A underwent coracoplasty, while Group B did not. The postoperative functional results of the two groups were compared and analyzed. The prognosis of patients was evaluated preoperatively and postoperatively by the University of California Los Angeles (UCLA) shoulder score，American Shoulder and Elbow Surgeons（ASES) shoulder score and Visual Analog Scale（VAS）pain score. Results: Postoperative observations revealed successful primary wound healing among all patients, without any systemic or localized shoulder joint infections or brachial plexus nerve injuries. Both groups exhibited a notable enhancement in overall functional outcomes following surgical intervention. At the 24-month postoperative follow-up, all assessed parameters in both groups showed substantial improvement compared to the preoperative values (P<0.05). The functional scores demonstrated a noteworthy increase in both groups after surgery compared to the preoperative values (p<0.01). When comparing two groups, the p-values for all indicators, except for the forward flexion range of motion, were less than 0.01. The statistical results indicated that patients in Group A had better recovery outcomes than those in Group B, except for forward flexion range of motion. Conclusion: The findings suggested that subcoracoid impingement syndrome could potentially serve as a significant precursor to subscapularis tendon injuries.It is worth noting that the combined approach of subscapularis tendon repair and coracoplasty demonstrated superior therapeutic efficacy compared to isolated subscapularis tendon repair, when subscapularis tendon injuries were associated with subcoracoid impingement.

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Arthroscopic Single and Double Row Repair of Isolated and Combined Subscapularis Tears Result in Similar Improvements in Outcomes: A Systematic Review

Xiao

Cohen

Cheung

et al. 2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Is routine coracoplasty necessary in isolated subscapularis tears?

Cited by 6 publications

References 14 publications

The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear

The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear

Analysis of the Therapeutic Efficacy of Arthroscopic Repair of the Subscapularis Tendon Combined with Coracoplasty

Arthroscopic Single and Double Row Repair of Isolated and Combined Subscapularis Tears Result in Similar Improvements in Outcomes: A Systematic Review

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