Arthroscopic Subscapularis Tendon Repair Using the Lasso-Loop Technique Through Anterolateral Viewing Portal.
Autor: | Mundakkal A; Department of Orthopaedic Surgery, Aster MIMS, Calicut, Kerala, India., Kanakkayil MM; Department of Orthopaedic Surgery, Aster MIMS, Calicut, Kerala, India., Nambiar R; Department of Orthopaedic Surgery, Aster MIMS, Calicut, Kerala, India., Sait A; Department of Orthopaedic Surgery, Aster MIMS, Calicut, Kerala, India., Nair AV; Department of Orthopaedic Surgery, Manipal Whitefield Hospital, Bangalore, Karnataka, India., Yoo YS; Department of Orthopaedic Surgery, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong, Korea., Khan PS; Department of Orthopaedic Surgery, Aster MIMS, Calicut, Kerala, India. |
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Jazyk: | angličtina |
Zdroj: | Arthroscopy techniques [Arthrosc Tech] 2022 Dec 21; Vol. 12 (1), pp. e83-e89. Date of Electronic Publication: 2022 Dec 21 (Print Publication: 2023). |
DOI: | 10.1016/j.eats.2022.08.062 |
Abstrakt: | The subscapularis is the strongest muscle among the rotator cuff muscles, and it provides a coupled balanced force across the glenohumeral joint by resisting the infraspinatus in axial plane and the shearing force of deltoid in the coronal plane. It is important to repair subscapularis tears to maintain the coupled balanced force. Subscapularis tendon tears are difficult to diagnose and treat. Only a small portion of the subscapularis tendon is visualized during routine arthroscopy, as it is largely covered by the middle and inferior glenohumeral ligaments. Various repair techniques have been described in the literature. Here, we describe the anterolateral viewing portal for better visualization of subscapularis and our preferred technique, the lasso-loop technique, which provides better tissue grip and improved functional outcome. (© 2022 The Authors.) |
Databáze: | MEDLINE |
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