Long-Term Outcome of a Consecutive Series of Subscapularis Tendon Tears Repaired Arthroscopically

A vast majority of preliminary reports published in the shoulder literature are not followed by long-time follow-up studies — a literature review

“…For instance, follow-up time was set at 16.2 months in an early experience report [21] based on patients treated with locking plates for proximal humeral fractures, while mean PR can be an invaluable way to report early complications of new devices or adverse effects but they need to be read with caution when addressing surgical techniques or new implants results, as later-term papers can not be guaranteed. Moreover, [20] no complications reported Kay S et al [56] no complications reported Arciero R et al [1] 1 resubluxation Owens B et al [57] 6 redislocation (4 revisions) 9 subluxations (2 revisions) Goldberg et al [17] 1 adherences (revision) Manta JP et al [58] 5d i s l o c a t i o n s 3 resubluxations (revision) 12 subluxations 3 transient neuroapraxia 1 superficial wound infection Boulahia A et al [5] 1 glenoid loosening (revision) Guery J et al [59] 1 infection (revision) 1 dislocation (revision) 2 dislocations (reduction general anaest) 1 hematoma 3 glenoid unscrewed 1 phlebitis 1 glenoid loosening (revision) Burkhart S et al [7] no complications reported Denard PJ et al [60] 1 shoulder dislocation 2 revision after cuff repair Godenèche et al [16] 5 intraiperative fractures Raiss P et al [61] 13 implant loosening (revision) 1 deep infection (revision) 1 partial rupture of subscapularis (revision) 8 neurologic complications 4 hematoma 5 prosthetic instabilities considerations based on the findings presented in this paper may be extrapolated to recent papers in the different fields of orthopaedic surgery [68,69].…”

“…further publication for the later-term results by the same authors or research group[52][53][54][55][56][57][58][59][60][61][62][63][64][65], even though only Results for matched PR and LT papers are shown onTable 1. PR that had subsequent LT studies by the same author or research group reported 85.96 % (67-100 %) of excellent or good results compared to those PR that never reached a LT: 80.02 % (43-100 %); even though this did not reach significance (p = 0.06).…”

Arthroscopic Recognition and Repair of the Torn Subscapularis Tendon

“…With the principles and techniques described in this article, repair of the subscapularis tendon has led to good or excellent functional outcomes at both short-and long-term in the vast majority of cases. [17][18][19] …”

Partial and Full-Thickness RCT: Modern Repair Techniques

“…Although others have proposed an alternative pathoanatomy for this arthroscopic finding, the reduction of the tissue that represents the comma tissue to the remnant subscapularis has been shown to recreate the intraarticular aspect of the torn subscapularis while concurrently reducing the leading edge of the supraspinatus [85]. Short-term and long-term results of isolated subscapularis and combined rotator cuff tears involving the subscapularis have consistently been shown to lead to good or excellent results in the vast majority of cases, with structurally intact repairs evaluated via ultrasound and magnetic resonance imaging reported as high as 93% [86][87][88][89][90][91][92]. Additionally, the reduction of the comma tissue to the torn subscapularis tendon can help reduce the leading edge of supraspinatus tears when found concomitantly.…”