TY - JOUR
T1 - Subscapularis repair after shoulder arthroplasty
AU - Cagle, Paul
AU - Shukla, Dave R.
AU - Parsons, Bradford O.
AU - Flatow, Evan L.
N1 - Publisher Copyright:
© 2015 by Lippincott Williams & Wilkins, Inc.
PY - 2015/3/13
Y1 - 2015/3/13
N2 - Both anatomic and reverse total shoulder arthroplasty have demonstrated excellent results in patients with arthritis. The deltopectoral approach is commonly utilized for both procedures, and the subscapularis is typically taken down. Multiple variations of subscapularis repairs are known, but subscapularis failure postoperatively can lead to poor clinical outcomes. We present a case of a standard anatomic total shoulder arthroplasty subscapularis repair with a specific suture configuration and a metallic button. In this technique, both Krackow and Mason-Allen suture techniques are utilized to approximate the tendon down to the bone. The patient described recovered quickly after the surgery, and he has demonstrated excellent results. These results are similar to those seen by the senior author while utilizing this technique, and after transitioning to this technique, postoperative subscapularis failures have been infrequently appreciated.
AB - Both anatomic and reverse total shoulder arthroplasty have demonstrated excellent results in patients with arthritis. The deltopectoral approach is commonly utilized for both procedures, and the subscapularis is typically taken down. Multiple variations of subscapularis repairs are known, but subscapularis failure postoperatively can lead to poor clinical outcomes. We present a case of a standard anatomic total shoulder arthroplasty subscapularis repair with a specific suture configuration and a metallic button. In this technique, both Krackow and Mason-Allen suture techniques are utilized to approximate the tendon down to the bone. The patient described recovered quickly after the surgery, and he has demonstrated excellent results. These results are similar to those seen by the senior author while utilizing this technique, and after transitioning to this technique, postoperative subscapularis failures have been infrequently appreciated.
KW - Reverse shoulder arthroplasty
KW - Rotator cuff
KW - Shoulder arthroplasty
KW - Subscapularis
UR - http://www.scopus.com/inward/record.url?scp=84922619050&partnerID=8YFLogxK
U2 - 10.1097/BTE.0000000000000048
DO - 10.1097/BTE.0000000000000048
M3 - Article
AN - SCOPUS:84922619050
SN - 1523-9896
VL - 16
SP - 38
EP - 42
JO - Techniques in Shoulder and Elbow Surgery
JF - Techniques in Shoulder and Elbow Surgery
IS - 1
ER -