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Double-Row Subscapularis Repair: The US Perspective

  • Michelle X. Xiao
  • Rebecca A. Carr
  • Geoffrey D. AbramsEmail author
Chapter

Abstract

Fixation of full-thickness subscapularis tears requires secure fixation for adequate healing. Because of this, a double-row construct is utilized by the senior author for all full-thickness subscapularis tears. This technique typically requires an additional anterosuperolateral portal for tendon mobilization, coracoplasty, as well as suture management. A double-row knotless repair is described; however there is no evidence of superiority for knotless over traditional knot-tying techniques.

References

  1. 1.
    Lo IK, Burkhart SS. The comma sign: an arthroscopic guide to the torn subscapularis tendon. Arthroscopy. 2003;19(3):334–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Ide J, Karasugi T, Okamoto N, Taniwaki T, Oka K, Mizuta H. Functional and structural comparisons of the arthroscopic knotless double-row suture bridge and single-row repair for anterosuperior rotator cuff tears. J Shoulder Elb Surg. 2015;24(10):1544–54.CrossRefGoogle Scholar
  3. 3.
    Saltzman BM, Collins MJ, Leroux T, Arns TA, Griffin JW, Romeo AA, et al. Arthroscopic repair of isolated subscapularis tears: a systematic review of technique-specific outcomes. Arthroscopy. 2017;33(4):849–60.CrossRefPubMedGoogle Scholar
  4. 4.
    Jost B, Puskas GJ, Lustenberger A, Gerber C. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am. 2003;85-A(10):1944–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Nelson GN, Namdari S, Galatz L, Keener JD. Pectoralis major tendon transfer for irreparable subscapularis tears. J Shoulder Elb Surg. 2014;23(6):909–18.CrossRefGoogle Scholar
  6. 6.
    Mun SW, Kim JY, Yi SH, Baek CH. Latissimus dorsi transfer for irreparable subscapularis tendon tears. J Shoulder Elb Surg. 2018;27(6):1057–64.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Michelle X. Xiao
    • 1
  • Rebecca A. Carr
    • 2
  • Geoffrey D. Abrams
    • 1
    • 3
    Email author
  1. 1.Department of Orthopedic SurgeryStanford University School of MedicineStanfordUSA
  2. 2.Sinai Hospital—Lifebridge HealthBaltimoreUSA
  3. 3.Veterans Administration—Palo AltoPalo AltoUSA

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