Subscapularis dysfunction following anterior surgical approaches to the shoulder

Scheibel, Markus; Habermeyer, Peter

doi:10.1016/j.jse.2007.11.005

Cited by 81 publications

(56 citation statements)

References 54 publications

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“…The capsule was released on the humeral and glenoid sides for observation and removal of osteophytes. According to the literature, vascular factors are not suggested to influence fatty degeneration [36]. Conversely, the limited need to ligate the circumflex vessels (only four times and one postoperative hematoma) suggests that subtle manipulation and less dissection of the subscapularis might be an important factor for prevention of postoperative fatty degeneration.…”

Section: Discussionmentioning

confidence: 99%

“…Despite more reliable subscapularis tendon reattachment, degeneration of the subscapularis muscle after open surgical release remains a concern [12,20,26,29,36]: fatty infiltration of the subscapularis muscle progresses by at least one stage in 45% of cases postoperatively [12]. Fatty muscular degeneration negatively influences strength, mobility, and overall Constant-Murley scores [7,12].…”

mentioning

confidence: 99%

“…Muscular damage during surgical approach with release and mobilization of the subscapularis muscle also may explain the degeneration [28]. Preservation of the subscapularis muscle requires maximum protection of the neurovascular structures at the anterior and inferior surfaces during release [29,36,39].…”

mentioning

confidence: 99%

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Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Wilde

Coninck

Neve

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Osteotomy of the lesser tuberosity in shoulder arthroplasty allows bony healing of the subscapularis tendon but does not prevent fatty degeneration in its muscle. Occurrence or increase in fatty degeneration may depend on the surgical technique. Questions/purposes We (1) assessed fatty degeneration in the subscapularis muscle and its cross-sectional area after a C-block osteotomy of the lesser tuberosity with minimal mobilization of the subscapularis muscle, and (2) determined whether this technique had any adverse effect on function, fatty degeneration, and cross-sectional area of the subscapularis muscle. Methods We retrospectively examined 36 patients with shoulder replacements who had C-block osteotomies. Constant-Murley scores and clinical signs of subscapularis insufficiency were recorded. We radiographically assessed prosthetic placement. On CT scans, lesser tuberosity healing, fatty degeneration, and cross-sectional area of the subscapularis muscle were determined. The minimum followup was 13 months (mean, 18 months; range, 13-33 months).

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Wilde

Coninck

Neve

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Subscapularis tendon plication or incision techniques may impair subscapularis recovery and can negatively influence the final clinical outcome [32], Z-plasty or intraarticular lengthening can weaken the tendon and lead to subsequent postoperative subscapularis tear.…”

Section: Discussionmentioning

confidence: 99%

Total shoulder arthroplasty in dislocation arthropathy

Lehmann

Magosch²,

Mauermann

et al. 2009

International Orthopaedics (SICOT)

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Follow-up examinations of 45 patients who received shoulder arthroplasty for osteoarthritis following shoulder instability were conducted after 44 months. The goal of this study was to describe the clinical findings associated with advanced glenohumeral arthritis due to shoulder instability and instability repairs and to present the clinical results and complications of treating this with shoulder arthroplasty. The weighted average Constant score increased significantly from 49.4 to 81.3 points. There was no significant difference in the type of arthroplasty with 35 cases of total shoulder replacements and ten cases of hemiarthoplasty. The rate of complications was 40% (18/45 patients) with 20% (9/45 patients) requiring an operative revision. Patients with arthritis after instability repair showed great improvement in all qualities of the Constant score. Nonetheless, further analyses are required to determine why such a relatively young group of patients showed high complication rates.

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“…The Latarjet operation, as considered a more invasive procedure, is thought to have more complications, including infection, graft non-union, graft lysis, degenerative joint disease, and subscapularis injury compared with the arthroscopic remplissage procedure [1,13,15,25,27,34]. Therefore, an evaluation of the unexpected postoperative adverse effects that may emerge is needed.…”

Section: Introductionmentioning

confidence: 99%

Management of an engaging Hill–Sachs lesion: arthroscopic remplissage with Bankart repair versus Latarjet procedure

Cho

Yoo

Rhee

2015

Knee Surg Sports Traumatol Arthrosc

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Subscapularis dysfunction following anterior surgical approaches to the shoulder

Cited by 81 publications

References 54 publications

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Total shoulder arthroplasty in dislocation arthropathy

Management of an engaging Hill–Sachs lesion: arthroscopic remplissage with Bankart repair versus Latarjet procedure

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