Arthroscopic Subcoracoid Decompression, Coracoplasty, and Subscapularis Repair for Subscapularis Tears in the Setting of Subcoracoid Impingement

Pearce, Stephanie S.; Ruzbarsky, Joseph J.; Ernat, Justin J.; Rakowski, Dylan R.; Hanson, Jared A.; Millett, Peter J.

doi:10.1016/j.eats.2021.10.026

Cited by 2 publications

(2 citation statements)

References 19 publications

(43 reference statements)

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“…Two shoulder orthopedic surgeons who were blinded to patient's personal details performed evaluations of radiologic measurements, and interobserver reliability was obtained based on the intraclass correlation coefficient (ICC). The subscapularis injuries were listed into different classifications intraoperatively according to the Lafosse classification ( Figure 1B ) ( 12 ). Some patients underwent MRI after surgery to evaluate the structural integrity of the repaired tendon.…”

Section: Methodsmentioning

confidence: 99%

Clinical efficacy and tendon integrity of patients with subscapularis tear by the technique of arthroscopic single external row repair

Zheng

et al. 2023

Front. Med.

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BackgroundWith the development of arthroscopic technology and equipment, arthroscopy can effectively repair the tear of the subscapular muscle. However, it is difficult to expose the subscapular muscle and operate it under a microscope. In this study, the SwiveLock® C external row anchor under arthroscopy was applied to repair the tear of the subscapular muscle in a single row, which is relatively easy to operate with reliable suture and fixation, and its efficacy was evaluated.PurposeThis study aimed to assess the clinical efficacy and the tendon integrity of patients who had subscapularis tears by adopting the single-row repair technique with a SwiveLock® C external row anchor.MethodsPatients who had the subscapular muscle tear either with or without retraction were included, and their follow-up time was at least 1 year. The degree of tendon injury was examined by magnetic resonance imaging (MRI) and confirmed by arthroscopy. The tendon was repaired in an arthroscopic manner by utilizing the single-row technique at the medial margin of the lesser tuberosity. One double-loaded suture SwiveLock® C anchor was applied to achieve a strong fixation between the footprint and tendon. The range of motion, pain visual simulation score, American Shoulder and Elbow Surgeons (ASES) score, and Constant score of shoulder joint were evaluated for each patient before the operation, 3 months after the operation, and at least 1 year after the operation.ResultsIn total, 110 patients, including 31 males and 79 females, with an average age of 68.28 ± 8.73 years were included. Arthroscopic repair of the subscapular tendon with SwiveLock® C external anchor can effectively improve the range of motion of the shoulder joint. At the last follow-up, the forward flexion of the shoulder joint increased from 88.97 ± 26.33° to 138.38 ± 26.48° (P < 0.05), the abduction range increased from 88.86 ± 25.27° to 137.78 ± 25.64° (P < 0.05), the external rotation range increased from 46.37 ± 14.48° to 66.49 ± 14.15° (P < 0.05), and the internal rotation range increased from 40.03 ± 9.01° to 57.55 ± 7.43° (P < 0.05). The clinical effect is obvious. The constant shoulder joint score increased from 40.14 ± 15.07 to 81.75 ± 11.00 (P < 0.05), the ASES score increased from 37.88 ± 13.24 to 82.01 ± 9.65 (P < 0.05), and the visual analog scale score decreased from 5.05 ± 2.11 to 1.01 ± 0.85 (P < 0.05). In the 6th month after the operation, two cases (1.81%) were confirmed to have re-tears via MRI.ConclusionIn this study, we repaired the subscapularis muscle with a single-row technique fixed by SwiveLock® C anchor and FiberWire® sutures and evaluated its efficacy. The results showed that the clinical effect of single-row arthroscopic repair was satisfactory and that reliable tendon healing could be achieved.

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Section: Methodsmentioning

confidence: 99%

Clinical efficacy and tendon integrity of patients with subscapularis tear by the technique of arthroscopic single external row repair

Zheng

et al. 2023

Front. Med.

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“…The objective of coracoplasty is to establish a coracohumeral spacing of 7-10 mm, hence reducing friction during the subscapularis healing process (55). Following complete tears, the subscapularis muscle will progressively retract over a period of time.…”

Section: Treatmentsmentioning

confidence: 99%

Subscapularis tendon tears: A narrative review

ÇELİK,

AYANOĞLU,

DİRLİK

et al. 2024

Archives of Current Medical Research

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The subscapularis muscle, which is the strongest muscle of the rotator cuff, plays important roles in shoulder biomechanics and stability. The emergence of a significant percentage of subscapular tendon tears in rotator cuff tears with advancing arthroscopic techniques has brought the importance of subscapular repair to the agenda along with different dynamics to the arthroscopic perspective. Patient training will reduce postoperative patient morbidity in addition to physical examination, imaging, and medical and surgical approaches to the treatment.

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Arthroscopic Subcoracoid Decompression, Coracoplasty, and Subscapularis Repair for Subscapularis Tears in the Setting of Subcoracoid Impingement

Cited by 2 publications

References 19 publications

Clinical efficacy and tendon integrity of patients with subscapularis tear by the technique of arthroscopic single external row repair

Clinical efficacy and tendon integrity of patients with subscapularis tear by the technique of arthroscopic single external row repair

Subscapularis tendon tears: A narrative review

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