Rupture of the subscapularis tendon (isolated or in combination with supraspinatus tear): when is a repair indicated?

Abstract:

:Ruptures of the subscapularis tendon, isolated or combined, are rare, and the treatment modalities are controversial. Of 1345 patients who underwent rotator cuff repair in a 7-year period, 73 had either an isolated rupture of the subscapularis or a subscapularis rupture combined with rupture of the supraspinatus. All reconstructions were performed through a deltopectoral approach. Reinsertion of the subscapularis was combined with reconstruction of the supraspinatus in 32 patients. Of the patients, 63 (86%) were re-examined at a mean follow-up of 35 months. The modified Constant score improved from 62% preoperatively to 91% at follow-up. Isolated or combined reconstructions did not result in significant differences with respect to the Constant score. Of the patients, 62 (98%) were satisfied with the operation. Rerupture was found by ultrasound in 8 subscapularis tendons (13%) and 4 supraspinatus tendons (13%). The rerupture rate showed a significant correlation with the Goutallier stage of fatty degeneration and the interval between injury and operation.

journal_name

J Shoulder Elbow Surg

authors

Flury MP,John M,Goldhahn J,Schwyzer HK,Simmen BR

doi

10.1016/j.jse.2005.07.013

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

659-64

issue

6

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(05)00228-4

journal_volume

15

pub_type

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