Subscapularis Peel in Anatomic Total Shoulder Arthroplasty
Background Anatomic total shoulder arthroplasty is a viable treatment option for patients with glenohumeral arthritis and an intact rotator cuff with successful outcomes. However, one complication is rupture of the subscapularis tendon postoperatively. Controversy exists regarding the optimal techni...
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Series: | Journal of Shoulder and Elbow Arthroplasty |
Online Access: | https://doi.org/10.1177/2471549218813409 |
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doaj-9ca9a6a43cd14c0ea84af7654a3521ad2020-11-25T04:00:48ZengSAGE PublishingJournal of Shoulder and Elbow Arthroplasty2471-54922018-11-01210.1177/2471549218813409Subscapularis Peel in Anatomic Total Shoulder ArthroplastyCorey T Clyde MDThomas W Throckmorton MDThomas R Duquin MDBackground Anatomic total shoulder arthroplasty is a viable treatment option for patients with glenohumeral arthritis and an intact rotator cuff with successful outcomes. However, one complication is rupture of the subscapularis tendon postoperatively. Controversy exists regarding the optimal technique of subscapularis tendon management. The purpose of the present article is to review subscapularis peel repair method. Methods The current literature on anatomic total shoulder arthroplasty and subscapularis peel was reviewed to determine the viability of the repair technique. Results Both biomechanical and clinical studies have demonstrated advantages and disadvantages of the subscapularis peel technique, most often by way of direct comparison with lesser tuberosity osteotomy, without consensus as to a superior repair method. Discussion The subscapularis peel repair in anatomic total shoulder arthroplasty when performed correctly may yield successful biomechanical and clinical outcomes for patients.https://doi.org/10.1177/2471549218813409 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Corey T Clyde MD Thomas W Throckmorton MD Thomas R Duquin MD |
spellingShingle |
Corey T Clyde MD Thomas W Throckmorton MD Thomas R Duquin MD Subscapularis Peel in Anatomic Total Shoulder Arthroplasty Journal of Shoulder and Elbow Arthroplasty |
author_facet |
Corey T Clyde MD Thomas W Throckmorton MD Thomas R Duquin MD |
author_sort |
Corey T Clyde MD |
title |
Subscapularis Peel in Anatomic Total Shoulder Arthroplasty |
title_short |
Subscapularis Peel in Anatomic Total Shoulder Arthroplasty |
title_full |
Subscapularis Peel in Anatomic Total Shoulder Arthroplasty |
title_fullStr |
Subscapularis Peel in Anatomic Total Shoulder Arthroplasty |
title_full_unstemmed |
Subscapularis Peel in Anatomic Total Shoulder Arthroplasty |
title_sort |
subscapularis peel in anatomic total shoulder arthroplasty |
publisher |
SAGE Publishing |
series |
Journal of Shoulder and Elbow Arthroplasty |
issn |
2471-5492 |
publishDate |
2018-11-01 |
description |
Background Anatomic total shoulder arthroplasty is a viable treatment option for patients with glenohumeral arthritis and an intact rotator cuff with successful outcomes. However, one complication is rupture of the subscapularis tendon postoperatively. Controversy exists regarding the optimal technique of subscapularis tendon management. The purpose of the present article is to review subscapularis peel repair method. Methods The current literature on anatomic total shoulder arthroplasty and subscapularis peel was reviewed to determine the viability of the repair technique. Results Both biomechanical and clinical studies have demonstrated advantages and disadvantages of the subscapularis peel technique, most often by way of direct comparison with lesser tuberosity osteotomy, without consensus as to a superior repair method. Discussion The subscapularis peel repair in anatomic total shoulder arthroplasty when performed correctly may yield successful biomechanical and clinical outcomes for patients. |
url |
https://doi.org/10.1177/2471549218813409 |
work_keys_str_mv |
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