Analysis of subscapularis integrity and function after lesser tuberosity osteotomy versus subscapularis tenotomy in total shoulder arthroplasty using ultrasound and validated clinical outcome measures

Buckley, Taylor; Miller, Richard J.; Nicandri, Gregg; Lewis, Richard A.; Voloshin, Ilya

doi:10.1016/j.jse.2013.12.009

Cited by 89 publications

(78 citation statements)

References 29 publications

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“…At final follow-up, Lapner et al reported no statistically significant differences in their primary outcome of subscapularis strength or any of the secondary outcomes (ASES and Western Ontario Osteoarthritis of the Shoulder Index scores) between the peel and LTO groups. Buckley et al, 3 in a retrospective comparative cohort study, assessed the outcomes of the subscapularis peel and LTO as well and showed a statistically significant increase in external rotation in the subscapularis peel group. Scalise et al 16 also performed a retrospective comparative cohort study and similarly showed a trend toward greater external rotation in the peel group.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis management in stemless total shoulder arthroplasty: tenotomy versus peel versus lesser tuberosity osteotomy

Aibinder

Bicknell

Bartsch

et al. 2019

Journal of Shoulder and Elbow Surgery

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Background: It is unknown whether subscapularis management technique has an influence on the outcomes and complications of stemless total shoulder arthroplasty. The purpose of this study, therefore, was to compare outcomes and complications between subscapularis tenotomy, peel, and lesser tuberosity osteotomy used during stemless shoulder arthroplasty. Methods: We reviewed 188 stemless anatomic total shoulder arthroplasties and compared clinical and functional outcomes between those performed through a subscapularis tenotomy (n ¼ 68), subscapularis peel (n ¼ 65), or lesser tuberosity osteotomy (n ¼ 55). Patients were followed up clinically and radiographically at 6 months, 1 year, and 2 years postoperatively. Results: At 2 years postoperatively, no statistically significant differences in visual analog scale pain scores, American Shoulder and Elbow Surgeons scores, or patient-reported instability (P .19) were found between groups. Active external rotation was greater in the peel group (P ¼ .006) than in the tenotomy group but was not different compared with the lesser tuberosity osteotomy group (P ¼ .07). No statistically significant difference in clinical subscapularis failures was noted between groups (P ¼ .11); however, 2 patients in the peel group sustained a subscapularis failure requiring reoperation. Discussion: The results of this multicenter comparative analysis show that all 3 subscapularis management techniques are effective and safe in the short term when used with stemless anatomic total shoulder arthroplasty.

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Section: Discussionmentioning

confidence: 99%

Subscapularis management in stemless total shoulder arthroplasty: tenotomy versus peel versus lesser tuberosity osteotomy

Aibinder

Bicknell

Bartsch

et al. 2019

Journal of Shoulder and Elbow Surgery

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show abstract

“…33 Function of the subscapularis muscle has been widely studied after total shoulder replacements, open capsular shifts, Bankart repair, and more recently after open Latarjet procedures. 2,5,11,12,17,31,36,38,40 In Bristow-Latarjet procedures, subscapularis tenotomy seems to be related to weakness of the muscle confirmed by means of an isokinetic study. On the other hand, the outcomes of the splitting technique are controversial.…”

mentioning

confidence: 90%

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Valencia

Fernández-Bermejo

Martín-Ríos

et al. 2020

Journal of Shoulder and Elbow Surgery

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“…In subscapularis or tubercular transfer, the insertion of the tendon is medialized which decreases excursion length of the muscle tendon unit. Buckley et al [19] have underlined that biomechanical changes in subscapularis negatively affect the functional outcomes when compared with lesser tuberosity osteotomy in total shoulder osteotomy. Although satisfactory clinical results have been reported with modified McLaughlin technique, this biomechanical alteration may explain the loss of external and internal rotation in these series.…”

Section: Discussionmentioning

confidence: 99%

Rafting technique without bone grafting in reverse Hill-Sachs lesions

Çirpar

Oktaş

Dağlar

2017

Eklem Hastalik Cerrahisi

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Analysis of subscapularis integrity and function after lesser tuberosity osteotomy versus subscapularis tenotomy in total shoulder arthroplasty using ultrasound and validated clinical outcome measures

Cited by 89 publications

References 29 publications

Subscapularis management in stemless total shoulder arthroplasty: tenotomy versus peel versus lesser tuberosity osteotomy

Subscapularis management in stemless total shoulder arthroplasty: tenotomy versus peel versus lesser tuberosity osteotomy

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Rafting technique without bone grafting in reverse Hill-Sachs lesions

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