Subscapularis arthroscopic repair
Tiago Torres,, André Sarmento; Pedro Lourenço; André Costa; Daniel Saraiva; José Marinhas; Miguel Frias; Ricardo Pereira;
Sara Macedo
Serviço de Ortopedia
Centro Hospitalar Gaia/Espinho EPE
Director de Serviço: Dr. Rolando Freitas
Objectives:
The aim of this work was to evaluate the
results of arthroscopically treated patients
with isolated subscapularis tendon tears.
Patients and Methods:
Ten patients with isolated tears of the
subscapularis muscle tendon arthroscopically
sutured between 2010 and 2014 were
evaluated. Eight had traumatic lesions. Seven
patients were male. The period of preoperative symptoms ranged from three days“ to
72 months. Six had complete and four had
partial tendon tears. There was 33,3% of
associated lesions of the long head of the
biceps tendon.
Results:
The mean range of motion of the patients has
improved from preoperative to final evaluation
from 120o to 145o of forward elevation, from
60o to 70o of lateral rotation and a medial
rotation from T12 to T9. Six patients returned
to their pre-injury level of sports activity. Using
the UCLA score, 8 patients had excellent or
good results.
Conclusion:
Surgically treated isolated tears of the
subscapularis tendon lead to good results and
patients satisfaction.
Figure 1 – Arthroscopic view of the
subscapularis.
Figure 2 – Subscapularis tear.
Figure 3 – Subscapularis suture.