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.

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 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.

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

scholarly journals Subscapularis Peel in Anatomic Total Shoulder Arthroplasty

2018 ◽  
Vol 2 ◽  
pp. 247154921881340
Author(s):  
Corey T Clyde ◽  
Thomas W Throckmorton ◽  
Thomas R Duquin
Keyword(s):  
Rotator Cuff ◽  
Shoulder Arthroplasty ◽  
Clinical Studies ◽  
Total Shoulder Arthroplasty ◽  
Subscapularis Tendon ◽  
Lesser Tuberosity ◽  
Repair Method ◽  
Advantages And Disadvantages ◽  
Repair Technique ◽  
Viable Treatment

Background Anatomic total shoulder arthroplasty is a viable treatment option for patients with glenohumeral arthritis and an intact rotator cuff with successful outcomes. However, one complication is rupture of the subscapularis tendon postoperatively. Controversy exists regarding the optimal technique of subscapularis tendon management. The purpose of the present article is to review subscapularis peel repair method. Methods The current literature on anatomic total shoulder arthroplasty and subscapularis peel was reviewed to determine the viability of the repair technique. Results Both biomechanical and clinical studies have demonstrated advantages and disadvantages of the subscapularis peel technique, most often by way of direct comparison with lesser tuberosity osteotomy, without consensus as to a superior repair method. Discussion The subscapularis peel repair in anatomic total shoulder arthroplasty when performed correctly may yield successful biomechanical and clinical outcomes for patients.

scholarly journals A biomechanical comparison of subscapularis repair techniques in total shoulder arthroplasty: lesser tuberosity osteotomy versus subscapularis peel

2018 ◽  
Vol 2 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Morenikeji Ayodele Buraimoh ◽  
Kelechi R. Okoroha ◽  
Daniel J. Oravec ◽  
Cathryn D. Peltz ◽  
Yener N. Yeni ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Lesser Tuberosity ◽  
Biomechanical Comparison ◽  
Repair Techniques
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