The V-shaped subscapularis tenotomy for anatomic total shoulder arthroplasty

2020 ◽  
Author(s):  
Daniel J. H. Henderson ◽  
Thomas J. Christensen ◽  
Austin Vo ◽  
Johannes E. Plath ◽  
Ion-Andrei Popescu ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Subscapularis Tenotomy

Biomechanical comparison of lesser tuberosity osteotomy versus subscapularis tenotomy in total shoulder arthroplasty

2012 ◽  
Vol 21 (8) ◽  
pp. 1087-1095 ◽  
Author(s):  
Steven A. Giuseffi ◽  
Prasit Wongtriratanachai ◽  
Hiromichi Omae ◽  
Akin Cil ◽  
Mark E. Zobitz ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Lesser Tuberosity ◽  
Biomechanical Comparison ◽  
Subscapularis Tenotomy

Lesser tuberosity osteotomy and subscapularis tenotomy repair techniques during total shoulder arthroplasty: A meta-analysis of cadaveric studies

2016 ◽  
Vol 40 ◽  
pp. 33-36 ◽  
Author(s):  
John B. Schrock ◽  
Matthew J. Kraeutler ◽  
Darby A. Houck ◽  
Gina G. Provenzano ◽  
Eric C. McCarty ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Meta Analysis ◽  
Total Shoulder Arthroplasty ◽  
Lesser Tuberosity ◽  
Subscapularis Tenotomy ◽  
Repair Techniques

scholarly journals Comparison of Subscapularis Management and Repair Techniques

2019 ◽  
Vol 3 ◽  
pp. 247154921984815 ◽  
Author(s):  
Robin Dunn ◽  
Christopher D Joyce ◽  
Jonathan T Bravman
Keyword(s):  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Subscapularis Tendon ◽  
Lesser Tuberosity ◽  
Crucial Step ◽  
Optimal Strength ◽  
Subscapularis Tenotomy ◽  
Repair Techniques

Management of the subscapularis tendon is a crucial step during the approach for total shoulder arthroplasty. The method of mobilizing the tendon and the technique used to repair it determine the initial integrity of the subscapularis and impact its capacity to heal. Currently, there exist 3 well-described and well-studied approaches to managing and repairing the subscapularis: subscapularis tenotomy, subscapularis peel, and lesser tuberosity osteotomy. More recently, a subscapularis-sparing approach has been proposed as an option. There is debate in the literature regarding which technique provides optimal strength and stability for subscapularis repair following shoulder arthroplasty. In this symposium, we provide an overview of each of the techniques and review the biomechanical studies comparing them.

scholarly journals Lesser Tuberosity Osteotomy in Anatomic Total Shoulder Arthroplasty

2018 ◽  
Vol 2 ◽  
pp. 247154921880971
Author(s):  
Alexander Martusiewicz ◽  
Jay D Keener
Keyword(s):  
Surgical Technique ◽  
Clinical Outcomes ◽  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Lesser Tuberosity ◽  
Significant Variability ◽  
Subscapularis Tenotomy ◽  
Repair Techniques

The deltopectoral exposure has earned the reputation as the “workhorse” approach to the shoulder. Due to the reproducible anatomy and its extensile nature, there is little debate when considering exposure in total shoulder arthroplasty (TSA). Despite this consensus, there is still significant variability in management of the subscapularis. Several repair techniques including a subscapularis tenotomy, peel, and lesser tuberosity osteotomy (LTO) have been developed to ensure healing and optimize function. This article focuses on performing a LTO in anatomic TSA. We will review the surgical technique and advantages in exposure in addition to biomechanical and clinical outcomes.

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