Subscapularis Tendon Tear Classification Based on 3-Dimensional Anatomic Footprint: A Cadaveric and Prospective Clinical Observational Study

Yoo, Jae Chul; Rhee, Yong Girl; Shin, Sang Jin; Park, Yong Bok; McGarry, Michelle H.; Jun, Bong Jae; Lee, Thay Q.

doi:10.1016/j.arthro.2014.08.015

Cited by 101 publications

(138 citation statements)

References 24 publications

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“…These factors seem to result in a low incidence of rotator cuff surgery over the age of 70. Furthermore, the proportion of open surgery increased with the age of patients (Table 6), which is thought to be the result of more cases involving a large rotator cuff tear combined with a subscapularis tear in older patients (2324). Arthroscopic repair of a large rotator cuff tear combined with a subscapularis tear is known to have poor results and to be technically demanding (25).…”

Section: Discussionmentioning

confidence: 99%

National Trends in Surgery for Rotator Cuff Disease in Korea

Lee

Kim

et al. 2017

J Korean Med Sci

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The objective of this study was to investigate the national trends in rotator cuff surgery in Korea and analyze hospital type-specific trends. We analyzed a nationwide database acquired from the Korean Health Insurance Review and Assessment Service (HIRA) from 2007 to 2015. International Classification of Diseases, 10th revision (ICD-10) codes, procedure codes, and arthroscopic device code were used to identify patients who underwent surgical treatment for rotator cuff disease. A total of 383,719 cases of rotator cuff surgeries were performed from 2007 to 2015. The mean annual percentage change in the age-adjusted rate of rotator cuff surgery per population of 100,000 persons rapidly increased from 2007 to 2012 (53.3%, P < 0.001), while that between 2012 to 2015 remained steady (2.3%, P = 0.34). The proportion of arthroscopic surgery among all rotator cuff surgeries steadily rose from 89.9% in 2007 to 96.8% in 2015 (P < 0.001). In terms of hospital types, the rate of rotator cuff surgery increased to the greatest degree in hospitals with 30–100 inpatient beds, and isolated acromioplasty procedure accounted for a larger proportion of the rotator cuff surgeries in small hospitals and clinics compared to large hospitals. Overall, our findings indicate that cases of rotator cuff surgery have increased rapidly recently in Korea, of which arthroscopic surgeries account for the greatest proportion. While rotator cuff surgery is a popular procedure that is commonly performed even in small hospitals, there was a difference in the component ratio of the procedure code in accordance with hospital type.

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Section: Discussionmentioning

confidence: 99%

National Trends in Surgery for Rotator Cuff Disease in Korea

Lee

Kim

et al. 2017

J Korean Med Sci

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“…A partial-thickness tear was further classified as an articular-or bursal-surface tear. Similarly, the SSC tendons were graded using a five-point scale according to Yoo and Rhee classification [19] as follows: 0, normal; 1, fraying or longitudinal split of SSC leading edge tendon (type I); 2, less than 50 % SSC tendon detachment to first facet (type IIA); 3, greater than 50 % detachment without complete disruption of lateral hood (type IIB); and 4, tear involving the entire first facet of the lesser tuberosity or more (type III-V). Grading scores between 2 and 4 were regarded as a SSC tendon tear.…”

Section: Image Analysismentioning

confidence: 99%

Rotator cuff tears noncontrast MRI compared to MR arthrography

et al. 2015

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“…Al repararlo, ganamos funcionalidad y, asociado con roturas del tendón del supraespinoso, este es reparado mejor y con menor tensión (3) . Las lesiones del tendón del subescapular pueden afectar a entre el 2 y el 10% de las lesiones del manguito rotador (4)(5)(6)(7) , pero artículos más recientes reportan hasta un 50% de las lesiones del manguito rotador (8) . Diferentes factores sumados a una disminución del espacio subcoracoideo pueden contribuir a las roturas del tendón del subescapular (9) .…”

Section: Introductionunclassified

Sutura artroscópica del tendón del subescapular. Técnica y resultados

Gebellí-Jové¹,

Iftimie-Iftime²,

Bel-LLop³

et al. 2018

REACA

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RESUMENObjetivo: mostrar el diagnóstico, la técnica quirúrgica y nuestros resultados de la sutura por vía artroscópica de las roturas completas del tendón del subescapular. Métodos: se han incluido los pacientes intervenidos en nuestro hospital entre los años 2014 y 2016 de rotura completa del tendón del subescapular, comprendiendo tanto las lesiones agudas como crónicas. Para la evaluación se objetivó la movilidad articular y se realizó la escala visual analógica (EVA) para el dolor y el test de Constant-Murley previo a la cirugía, a las 6 semanas, 3 y 6 meses posquirúr-gicos y al alta clínica. Resultados: se incluyen 13 pacientes. Edad media de 57,5 (24-73). El tiempo medio transcurrido entre la lesión y el tratamiento fue de 18 semanas (2-48). El tiempo medio de seguimiento fue de 7 meses (rango: 5-12). El tiempo medio de inmovilización fue de 5,6 semanas (4-6). Realizaron rehabilitación durante 4,2 meses (3-6). La EVA final fue de 0,3 (0-4), el Constant-Murley de 87 (65-95) y, en cuanto a la movilidad, la rotación externa fue de 53,2 (45-60), la flexión anterior de 165,5 (155-180) y la abducción de 162,7 (140-180). Conclusión: en la exploración física no debemos olvidar las maniobras para descartar lesiones del tendón del subescapular. Es una patología que tiene que diagnosticarse y tratarse lo antes posible para tener menor dificultad técnica y obtener mejores resultados. En nuestra serie, los casos agudos se presentan en pacientes más jóvenes, tienen lesiones ABSTRACT Arthroscopic suture of the subscapularis tendon. Technique and resultsObjective: to show the diagnosis, the surgical technique and our results of the arthroscopic suture of the complete tears of the subscapularis tendon with inbox technique. Methods: all patients operated at our hospital between 2014 and 2016 had a complete subscapular tendon rupture, including both acute and chronic injuries. For the evaluation the ranges of movement was recorded and visual analogue scale (VAS) for pain and Constant-Murley score were performed before surgery, 6 weeks, 3, 6 months and at discharge. Results: we included 13 patients. Mean age of 57.5 (24-73). Time elapsed between injury and treatment was 18 weeks (2-48), mean follow-up was 7 months (5-12), mean time for immobilization was 5.6 weeks (4-6). Rehabilitation performed for 4.2 months (3-6). VAS at discharge was 0.3 (0-4), Constant-Murley score 87 (65-95) and in mobility the external rotation was 53.2 (45-60), forward flexion of 165.5 (155-180) and abduction 162.7 (140-180).

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Subscapularis Tendon Tear Classification Based on 3-Dimensional Anatomic Footprint: A Cadaveric and Prospective Clinical Observational Study

Cited by 101 publications

References 24 publications

National Trends in Surgery for Rotator Cuff Disease in Korea

National Trends in Surgery for Rotator Cuff Disease in Korea

Rotator cuff tears noncontrast MRI compared to MR arthrography

Sutura artroscópica del tendón del subescapular. Técnica y resultados

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