Relationship between subscapularis tears and injuries to the biceps pulley

Godenèche, Arnaud; Nové-Josserand, Laurent; Audebert, Stéphane; Toussaint, B.; Denard, Patrick J.; Lädermann, Alexandre

doi:10.1007/s00167-016-4374-9

Cited by 58 publications

(43 citation statements)

References 32 publications

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“…Therefore, the authors recommend performing a tenotomy or tenodesis of the LHB for patients with additional biceps instability. These findings do correlate with the presented results by Godeneche et al who also stated these lesions to merit special recognition since they might destabilize the LHB [16].…”

Section: Discussionsupporting

confidence: 92%

A classification for partial subscapularis tendon tears

Martetschläger¹,

Zampeli²,

Tauber

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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The aim of the study was to analyze partial subscapularis tendon (SSC) tears and provide a descriptive classification. Methods The retrospective study included 50 patients with arthroscopically confirmed partial SSC tears. Internal rotation (IR) force measurements and IR ROM have been made and compared to the healthy contralateral side. Then the footprint of the SSC was routinely investigated by arthroscopy with standardized measurement of the bony footprint lesion. The partial tears were classified according to the mediolateral and craniocaudal extension of the rupture in the transverse and coronal plane, respectively. Results Partial SSC tears could be classified into split lesions (type 1, n = 11) and 3 further groups depending on the mediolateral peeled-off length of the bony footprint (type 2: < 10 mm, n = 20; type 3: 10-15 mm, n = 10; type 4: > 15 mm, n = 9). Type 2-4 could be further divided depending on the craniocaudal peeled-off length of the bony footprint (group A: < 10 mm, group B: 10-15 mm, group C: > 15 mm). Significantly decreased IR strength was shown for types 2-4 (p < 0.05) but not for split lesions as compared to healthy side. Types 1-4 showed significant decreased active IR ROM and all except type 3 (n.s.) which showed decreased passive IR ROM compared to the healthy side (p < 0.05). Conclusion We present a novel classification for partial SSC tears for a more detailed and reproducible description. This can help to improve the current knowledge about the appropriate treatment. It could be shown that partial tears of the subscapularis can have an impact on IR strength and motion.

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Section: Discussionsupporting

confidence: 92%

A classification for partial subscapularis tendon tears

Martetschläger¹,

Zampeli²,

Tauber

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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“…The coracohumeral ligament, the superior glenohumeral ligament and the superior fibres of the SSC tendon reinforce the lateral rotator interval and act as a pulley system for the long head of the biceps tendon (LHBT) to prevent its dislocation [10][11][12]. That may explain why pathologies of the SSC tendon and LHBT are intimately connected [13][14][15][16][17][18], and why SSC should always be assessed and repaired in patients with rotator cuff tears including the SSC tendon.…”

Section: Anatomymentioning

confidence: 99%

Subscapularis Tendon Tears: Classification, Diagnosis and Repair

Baverel¹

2018

Recent Advances in Arthroscopic Surgery

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Rotator cuff tears include a panel of tendon lesions, and superior cuff tears are often combined with subscapularis lesions that are more difficult to repair. We propose in this chapter to describe the Lafosse subscapularis tears classification and to describe the arthroscopic repair that can be performed easily with a needle as shuttle. The advantages of these surgical techniques are simplicity, safety and quickness. The procedure is performed under general anaesthesia with the patient in beach chair position. A classic arthroscopic posterior portal is used to perform glenohumeral exploration, and cuff tendons are analysed. Once subscapularis tear is confirmed, the tendon must be released after repair with anterolateral portal. Then, a triple-loaded anchor is positioned at the edge of the bicipital groove to perform both biceps tenodesis and subscapularis repair.

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“…LHBT lesions alone are relatively rare; they are mostly associated with other lesions of the shoulder joint, particularly rotator cuff (RC) injury (1,(3)(4)(5)(6)(7)(8). The normal physiological function of the LHBT depends on the role of the block system, which is mainly composed of supraspinatus (SSP), coracohumeral ligament, superior glenohumeral ligament and subscapularis (SSC) (9). These ligaments are reinforced by the check-points of the SSP and SSC tendons, which maintain LHBT stability in the intertubercular sulcus ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Small‑incision open distal subpectoral vs. arthroscopic proximal biceps tenodesis for biceps long head tendon lesions with repair of rotator cuff tears

Yang

Zhang

et al. 2019

Exp Ther Med

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The curative effect of small-incision open distal subpectoral vs. arthroscopic proximal biceps tenodesis for lesions in the long head of the biceps tendon (LHBT) combined with rotator cuff repairs (RCR) has remained controversial. The aim of the present study was to compare the two surgical methods. A total of 71 patients who received surgical treatment for LHBT lesions accompanied by RC tears were analyzed. Following arthroscopic RCR and tendectomy of the affected LHBT, 35 patients underwent small-incision open distal subpectoral tenodesis through a small incision (the subpectoral group), while the remaining 36 patients received arthroscopic proximal tenodesis (the arthroscopic group). The surgery time and intra-operative blood loss were compared between the two groups. In addition, the clinical outcomes were evaluated using scoring systems for the functional assessment of the shoulder joint. The subpectoral group had a shorter surgery time and less intra-operative blood loss than the arthroscopic group (P<0.05). The functional scores of the two groups significantly improved as time passed (P<0.05). The subpectoral group was significantly superior to the arthroscopic group with regard to the American Shoulder and Elbow Surgeons score at 2 weeks post-operatively and visual analog scale score at 2 weeks and 3 months post-operatively (P<0.05). Small-incision open distal subpectoral and arthroscopic proximal tenodesis were demonstrated to effectively improve the function of the shoulder joint and relieve pain caused by LHBT lesions accompanied by RCR. However, small-incision open distal subpectoral tenodesis had the additional advantage of shorter surgery time, less intra-operative bleeding and encouraging early results compared to arthroscopic proximal tenodesis. The study was registered as a clinical trial in the Chinese Trial Registry (no. ChiCTR1800015643).

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Relationship between subscapularis tears and injuries to the biceps pulley

Cited by 58 publications

References 32 publications

A classification for partial subscapularis tendon tears

A classification for partial subscapularis tendon tears

Subscapularis Tendon Tears: Classification, Diagnosis and Repair

Small‑incision open distal subpectoral vs. arthroscopic proximal biceps tenodesis for biceps long head tendon lesions with repair of rotator cuff tears

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