Journals / Acta Orthopaedica et Traumatologica Turcica / 2021 / Cilt: 55 - Sayı: 6

Mid-term clinical and radiological outcomes of arthroscopic repair of isolated and combined subscapularis tears: A single-center experience

Pages
473–479
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The mean preoperativeinternal rotation strength according to the Oxford scale was 3.4 (± 0.6) / 5 and raised to 4.7 (± 0.4) / 5 at the final follow-up (P

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to evaluate the mid-term clinical and radiological results of patients who underwent arthroscopic subscapularis (SSC) tendon repair and to address the possible effect of repair technique(single or double row), tear pattern, and concomitant procedures among supraspinatus tears and long head of biceps tendon (LHBT) pathologies on outcomes and failure parameters.
📊
Key Findings & Data:Methods: 45 patients (24 female; mean age = 55.9 years, age range = 37 - 78) who underwent arthroscopic repair of an SSC tear between January 2009 and December 2016 were retrospectively identified and included inthe study.
💡
Conclusion & Impact:The mean preoperativeinternal rotation strength according to the Oxford scale was 3.4 (± 0.6) / 5 and raised to 4.7 (± 0.4) / 5 at the final follow-up (P
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to evaluate the mid-term clinical and radiological results of patients who underwent arthroscopic subscapularis (SSC) tendon repair and to address the possible effect of repair technique(single or double row), tear pattern, and concomitant procedures among supraspinatus tears and long head of biceps tendon (LHBT) pathologies on outcomes and failure parameters. Methods: 45 patients (24 female; mean age = 55.9 years, age range = 37 - 78) who underwent arthroscopic repair of an SSC tear between January 2009 and December 2016 were retrospectively identified and included inthe study. Pre- and postoperative internal rotation strength and shoulder joint range of motion angles were measured. Clinical outcomes were assessed by Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES), Constant-Murley, Rotator cuff-quality of life (RC-QoL), and University of California Los Angles (UCLA) scores preoperatively and at the final follow-up. Results: The mean follow-up was 45.2 (range = 36-104) months. 14 patients had isolated SSC tears. The mean preoperative VAS, ASES, Constant-Murley, RC-QoL, and UCLA scores for all patients were respectively 8.6, 21.2, 24, 28.9, and 12. Significant improvement was observed in each clinical outcome at the final follow-up: 0.96, 88.4, 86.4, 90.2, and 32.2, respectively. Improvement in outcome scores was more prominent in patients with Lafosse grade I and II SSC tendon tears repaired by single- row technique and in patients with concomitant supraspinatus tendon repairs. The mean preoperativeinternal rotation strength according to the Oxford scale was 3.4 (± 0.6) / 5 and raised to 4.7 (± 0.4) / 5 at the final follow-up (P

🔖

Cite This Article

Kurnaz, R., Ergün, S., Aşçı, M., Akgün, U., Güneş, T. (2022). Mid-term clinical and radiological outcomes of arthroscopic repair of isolated and combined subscapularis tears: A single-center experience. Acta Orthopaedica et Traumatologica Turcica, Cilt: 55 - Sayı: 6, 473–479. https://ajindex.com/articles/428001

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Inman VT, Saunders JB, Abbott LC. Observations of the function of the shoulder joint. Clin Orthop Relat Res. 1996
  2. 00003086- 199609000-00002 2. Seppel G, Plath JE, Völk C, et al. Long-term results after arthroscopic repair of isolated subscapularis tears. Am J Sports Med. 2017
  3. 45(4):759-766. 10.1177/ 0363546516676261 3. Edwards TB, Walch G, Nové-Josserand L, et al. Arthroscopic debridement in the treatment of patients with isolated tears of the subscapularis. Arthroscopy. 2006
  4. 22(9):941-946. 10.1016/j.arthro.2006.05.009 4. Lafosse L, Brzoska R, Toussaint B, Gobezie R. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. Surgical technique. J Bone Joint Surg Am. 2007
  5. 89 2:275- 286. 10.2106/JBJS.H.00388 5. Sakurai G, Ozaki J, Tomita Y, Kondo T, Tamai S. Incomplete tears of the subscapularis tendon associated with tears of the supraspinatus tendon: Cada- veric and clinical studies. J Shoulder Elbow Surg. 1998
  6. 7(5):510-515. 10.1016/ S1058-2746(98)90204-X 6. Arai R, Sugaya H, Mochizuki T, Nimura A, Moriishi J, Akita K. Subscapularis tendon tear: An anatomic and clinical investigation. Arthroscopy. 2008
  7. 24 (9):997-1004. 10.1016/j.arthro.2008.04.076 7. Bennett WF. Arthroscopic repair of anterosuperior (supraspinatus/subscapu- laris) rotator cuff tears: A prospective cohort with 2- to 4-year follow-up. Classi- fication of biceps subluxation/instability. Arthroscopy. 2003
  8. 19(1):21-33. 10. 1053/jars.2003.50023 8. Bennett WF. Arthroscopic repair of isolated subscapularis tears: A prospective cohort with 2- to 4-year follow-up. Arthroscopy. 2003
  9. 19(2):131-143. 10.1053/ jars.2003.50053 9. Burkhart SS, Tehrany AM. Arthroscopic subscapularis tendon repair: Techni- que and preliminary results. Arthroscopy. 2002
  10. 18(5):454-463. 10.1053/jars. 2002.30648 10. Adams CR, Schoolfield JD, Burkhart SS. The results of arthroscopic subscapu- laris tendon repairs. Arthroscopy. 2008
  11. 24(12):1381-1389. 10.1016/j.arthro. 2008.08.004 11. Arun GR, Kumar P, Patnaik S, et al. Outcome of arthroscopic subscapularis tendon repair: Are the results improving with improved techniques and equip- ment?: A retrospective case series. Indian J Orthop. 2016
  12. 50(3):297-302. 10. 4103/0019-5413.181788 12. Gerhardt C, Bartl C, Voigt C, et al. Recovery of subscapularis and shoulder function following arthroscopic treatment of isolated anterior and combined anterosuperior rotator cuff lesions. Arch Orthop Trauma Surg. 2