Acute subscapularis tendon rupture caused by throwing: A case report

Yoshikawa, Genki; Katsuhiro, Hori; Kaneko, Hideto; Matsusue, Yoshitaka; Murakami, Mototsune

doi:10.1016/j.jse.2004.04.016

“…One report described a case of subscapularis muscle strain that an outfielder endured from direct impact against a wall (15). A second case reported spontaneous subscapularis tendon rupture in a 50-year-old patient playing recreational baseball who experienced sudden pain after forcefully throwing a ball to a catcher from second base (29). This particular patient reported anterior shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis Myotendinous Junction Tears Presenting with Posterior Shoulder Pain in Overhead Throwing Athletes

Tarkowski

¹

,

Omar

²

,

Blount

³

et al. 2019

ama

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Objective. Acute inferior subscapularis myotendinous junction injuries are occasionally seen in overhead throwing athletes, and can present with posterior shoulder pain.Case Reports. Four professional baseball pitchers presented with acute onset of posterior shoulder pain while pitching. After thorough, routine physical examination of the shoulder by the referring orthopaedic surgeon magnetic resonance imaging (MRI) was performed within 7-10 days of the onset of presenting symptoms and interpreted in consensus by 2 fellowshiptrained musculoskeletal radiologists with 9 and 5 years of experience and a musculoskeletal radiology fellow. The patients were then treated conservatively for subscapularis musculotendinous injuries and clinically assessed for symptom resolution before they were allowed to return to play.Conclusion. Inferior subscapularis myotendinous junction injuries should be included in the differential diagnosis of baseball pitchers with posterior shoulder pain.

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“…We agree with Burkhart, and we believe that situations in which the LHBT remains unstable or degenerated are an important reason for lack of success, because the painful condition is perpetuated. Provocative test results for the biceps (Speed and Yergason) are common findings in these patients 19 , 20 .…”

Section: Discussionmentioning

confidence: 95%

Results From Arthroscopic Repair of Isolated Tears of the Subscapularis Tendon

Godinho

¹

,

França

²

,

Freita

³

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: To evaluate the functional and clinical outcomes and identify prognostic factors in patients undergoing arthroscopic repair of isolated tears of the subscapularis tendon. Methods: Between January 2003 and May 2009, we identified 18 shoulders with isolated tears or deinsertions that were complete or affected at least one third of the subscapularis tendon and underwent arthroscopic repair. Results: Three shoulders (17%) showed lesions in the upper third of the subscapularis; nine shoulders (50%) showed lesions in the upper two thirds; and six shoulders (33%) presented complete tears. In comparing the range of lateral rotation of the injured shoulder between before surgery and the time of the reevaluation, there was no statistical difference (p = 0.091). The LHBT was damaged in 11 shoulders (61%). According to the Constant score validation, we had excellent and good results in 83% of the cases and 17% were reasonable. The reevaluations on three patients showed re-tearing on MRI. Acromioplasty was performed on ten patients and this procedure did not represent statistical differences in the final results (p = 0.57). Conclusions: There was no statistically significant difference in relation to preoperative lateral rotation between the injured shoulder and the contralateral side. There was no significant loss of lateral rotation after surgery. The LHBT may be normal in deinsertions of the subscapularis tendon. Acromioplasty did not influence the results. The re-tearing rate for arthroscopic repair of the subscapularis tendon was 16.6%.

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“…We agree with Burkhart, and we believe that situations in which the LHBT remains unstable or degenerated are an important reason for lack of success, because the painful condition is perpetuated. Provocative test results for the biceps (Speed and Yergason) are common findings in these patients (19,20) . Despite reports in the literature that patients with subscapular tears present increased amplitude of passive external rotation, there was no statistical difference in our sample between the affected limb and the contralateral limb.…”

Section: Arthroscopic Inspection Of the Lhbt N = 18mentioning

confidence: 99%

Resultados do reparo artroscópico das roturas isoladas do tendão do músculo subescapular

Godinho¹,

França²,

Freita³

et al. 2012

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Objective: To evaluate the functional and clinical outcomes and identify prognostic factors in patients undergoing arthroscopic repair of isolated tears of the subscapularis tendon. Methods: Between January 2003 and May 2009, we identified 18 shoulders with isolated tears or deinsertions that were complete or affected at least one third of the subscapularis tendon and underwent arthroscopic repair. Results: Three shoulders (17%) showed lesions in the upper third of the subscapularis; nine shoulders (50%) showed lesions in the upper two thirds; and six shoulders (33%) presented complete tears. In comparing the range of lateral rotation of the injured shoulder between before surgery and the time of the reevaluation, there was no statistical difference (p = 0.091). The LHBT was damaged in

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Acute subscapularis tendon rupture caused by throwing: A case report

Cited by 6 publications

References 14 publications

Subscapularis Myotendinous Junction Tears Presenting with Posterior Shoulder Pain in Overhead Throwing Athletes

Subscapularis Myotendinous Junction Tears Presenting with Posterior Shoulder Pain in Overhead Throwing Athletes

Results From Arthroscopic Repair of Isolated Tears of the Subscapularis Tendon

Resultados do reparo artroscópico das roturas isoladas do tendão do músculo subescapular

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