Stem-Based Repair of the Subscapularis in Total Shoulder Arthroplasty

Subscapularis integrity following total shoulder arthroplasty (TSA) is important to maintaining glenohumeral joint stability and functional outcome. In recent years increased emphasis has been placed on the management of the subscapularis during TSA. Options for management of the subscapularis during TSA include tenotomy, release of the tendon from the bone (peel technique), or a lesser tuberosity osteotomy (LTO). Several studies have demonstrated that subscapularis integrity is often impaired with a traditional tenotomy approach.1,2 Based on these studies, a subscapularis peel or LTO approach have gained popularity.3 This technical article describes a subscapularis peel repair technique that is integrated into a press-fit anatomical short-stem during TSA.

Source: AMJ Orthopedics

Read more

You Might Also Enjoy...

PRP: A proven treatment for partial rotator cuff tears

PRP: A proven treatment for partial rotator cuff tears Dr Louis Re offers PRP as treatment for partial rotator cuff tears. PRP consistently improves pain and improves tissue health over a short duration with minimal treatments

Shoulder Bone Spurs and Impingement Syndrome

Impingement syndrome is a descriptive term for the pinching of the tendons of the rotator cuff between the bones causing injury . In many individuals with this problem, BONE SPURS or the shape of their bones is such that they have less space than others.

What Is a Rotator Cuff Tear?

Rotator cuff tears are a common injury of the complex shoulder joint. The shoulder is one of the most amazing joints in the body. The range of motion of your shoulder—the amount of movement at the joint—is greater than in any other joint in the body.