Management of the Subscapularis Tendon During Total Shoulder Arthroplasty.

Authors

Edward Shields, Beaumont Health
Anthony Ho, Beaumont Health
J Michael Wiater, Beaumont Health

Document Type

Article

Publication Date

4-1-2017

Abstract

Use of total shoulder arthroplasty has significantly increased during the past decade. For anatomic total shoulder arthroplasty, controversy exists regarding the best technique for detachment and repair of the subscapularis tendon. Options include tendon tenotomy, peel, lesser tuberosity osteotomy, and even subscapularis-sparing techniques. Inadequate healing of the subscapularis tendon can lead to postoperative pain, weakness, and instability. This review discusses the subscapularis pathoanatomy, different techniques for releasing and repairing the tendon, and reports biomechanical and clinical outcomes for each technique after total shoulder arthroplasty.

Volume

26

Issue

4

First Page

723

Last Page

731

Recommended Citation

Shields E, Ho A, Wiater JM. Management of the subscapularis tendon during total shoulder arthroplasty. J Shoulder Elbow Surg. 2017 Apr;26(4):723-731. doi: 10.1016/j.jse.2016.11.006. Epub 2017 Jan 19. Review. PubMed PMID: 28111182.

ISSN

1532-6500

PubMed ID

28111182