Intra-articular Repair of an Isolated Partial Articular-Surface Tear of the Subscapularis Tendon
| Autor: | Jun Sic Park, Seong Kee Shin, Seung-Ho Kim, Woong Kyo Jeong, Irvin Oh |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Rotation Shoulders Elbow Physical Therapy Sports Therapy and Rehabilitation Biceps Tendons Arthroscopy 03 medical and health sciences 0302 clinical medicine Tendon Injuries medicine Humans Orthopedics and Sports Medicine Rotator cuff Prospective Studies Range of Motion Articular Aged Pain Measurement Retrospective Studies 030222 orthopedics medicine.diagnostic_test Shoulder Joint business.industry Suture Techniques Recovery of Function 030229 sport sciences Middle Aged Surgery Endoscopy Tendon Treatment Outcome medicine.anatomical_structure Female business Range of motion |
| Zdroj: | The American Journal of Sports Medicine. 33:1825-1830 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/0363546505278259 |
| Popis: | BackgroundPartial-thickness tear of the subscapularis tendon in the articular surface is common.HypothesisIntra-articular repair of a partial articular-surface tear of the subscapularis tendon will provide a successful outcome.Study DesignCase series; Level of evidence, 4.MethodsA total of 29 shoulders with an isolated partial articular-surface tear of the subscapularis tendon without another rotator cuff lesion were treated with arthroscopic intra-articular repair using suture anchors. Biceps tenodesis was performed in 16 patients. Outcomes were prospectively evaluated at a mean of 27 months (range, 19-41 months) using 3 objective (University of California at Los Angeles, American Shoulder and Elbow Surgeons Shoulder Index, Simple Shoulder Test) and 2 subjective (pain and function visual analog scales) measurements.ResultsThere were 21 men and 8 women, with a mean age of 54 years (range, 41-65 years). Tear widths were small (1 cm) in 13 shoulders. Twenty-six shoulders had articular cartilage erosion on the adjacent humeral head. Lesions of the biceps tendon were noted in 25 patients (partial tear in 15 shoulders; subluxation in 13 shoulders). Shoulder pain scores improved after surgery (5.0 ± 2.7 to 0.3 ± 0.7, P . 05).ConclusionArthroscopic intra-articular repair of a partial articular-surface tear of the subscapularis tendon is an effective procedure that spares the intact tendon attachment in the bursal surface. Short-term outcomes were reliable by both objective and subjective measurements. |
| Databáze: | OpenAIRE |
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