Medial Biceps Sling Takedown May Be Necessary to Expose an Occult Subscapularis Tendon Tear

Autor: Robert U. Hartzler, M.D., M.S., Stephen S. Burkhart, M.D.
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Arthroscopy Techniques, Vol 3, Iss 6, Pp e719-e722 (2014)
Druh dokumentu: article
ISSN: 2212-6287
96428651
DOI: 10.1016/j.eats.2014.09.005
Popis: With a systematic approach to diagnosis, including a thorough history, physical examination, advanced imaging, and arthroscopic evaluation, most subscapularis tendon tears may be readily discovered. Occult tears, on the other hand, may escape arthroscopic detection if a high index of suspicion and certain intraoperative examination steps are lacking. We describe an occult tear pattern in which a subscapularis tendon tear was completely hidden by an intact medial biceps tendon sling. Takedown of the sling, which was expendable because a tenodesis was planned, was required to expose this occult tear. Awareness of occult subscapularis tear patterns makes diagnosis and repair possible.
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