2017
DOI: 10.1007/s00167-017-4480-3
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Latarjet procedure using subscapularis split approach offers better rotational endurance than partial tenotomy for anterior shoulder instability

Abstract: Retrospective cohort study, Level III.

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Cited by 22 publications
(16 citation statements)
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“…Previous data suggested that subscapularis tenotomy may lead to subscapularis muscular atrophy and fatty degeneration, 50 as well as weaker internal rotation strength and durability with isometric and isokinetic testing. 12,44 However, the clinical data in this study did not show any significant difference between the techniques. Furthermore, younger age is a risk factor for repeat dislocation.…”
Section: Independent Risk Factors For Failure To Meet Rtp Criteriacontrasting
confidence: 56%
“…Previous data suggested that subscapularis tenotomy may lead to subscapularis muscular atrophy and fatty degeneration, 50 as well as weaker internal rotation strength and durability with isometric and isokinetic testing. 12,44 However, the clinical data in this study did not show any significant difference between the techniques. Furthermore, younger age is a risk factor for repeat dislocation.…”
Section: Independent Risk Factors For Failure To Meet Rtp Criteriacontrasting
confidence: 56%
“…6,29,31 Its common surgical treatments include Bankart (labral) repairs, which involve sewing the joint capsule and detached labrum to the glenoid, 25,32 and Latarjet (bone block) procedures, which require transferring the coracoid process, with attached soft tissue, to the anteroinferior border of the glenoid through a split in the subscapularis muscle. 12,13,40 The Latarjet procedure enables fast recovery 2 and return to sports, 22 has a low recurrence of instability (\7%), 9,19 and includes favorable long-term outcomes, 14,20,41 despite some complications, such as pain at the tip of the screw, 11,28,33 bone-block lyses, malposition, nonunion, 11,23,33,35 and neurological dysfunction. 14,15,39 Some of these complications are due to soft tissue impingements that could be resolved by screw removal, as performed after 0.8% to 3% of Latarjet procedures.…”
mentioning
confidence: 99%
“…9 Consequences of subscapularis split had been widely studied in the context of open instability surgeries and open Latarjet. 5,[11][12][13]17,[36][37][38][39] However, outcomes of arthroscopic subscapularis split are still relatively unknown. This is the first study on the clinical, radiologic, and isokinetic performance of the subscapularis after arthroscopic Latarjet procedure at long-term follow-up.…”
Section: Discussionmentioning
confidence: 99%