title: [Isolated injury of the subscapular muscle tendon].
abstract: Avulsion of the subscapularis tendon is caused by a combined abduction and external rotation trauma of the upper limb. Weakness of internal rotation and a positive apprehension test are clinical signs of the injury. A fracture of the lesser tuberosity in the x-ray film or a disruption of the subscapularis tendon documented in dynamic sonography of the shoulder clarify the diagnosis. Operative treatment is indicated of prevent weakness of internal rotation as well as anterior instability. This recommendation is supported by four cases with full range of motion and good anterior stability after surgery.
authors.affiliation: Zentrum für Chirurgie Katharinenhospital Stuttgart, Abteilung für Unfall- und Wiederherstellungschirurgie.
authors.forename: F W
authors.initials: FW
authors.lastname: Thielemann
authors.forename: U
authors.initials: U
authors.lastname: Kley
authors.forename: U
authors.initials: U
authors.lastname: Holz
mesh_terms: D000293:Adolescent; D000328:Adult; D006173:Gymnastics / Q000293:injuries; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012421:Rupture; D012540:Scapula / Q000293:injuries*; D013708:Tendon Injuries / Q000000981:diagnostic imaging* / Q000601:surgery
vernacular_title: Die isolierte Verletzung der Sehne des M. subscapularis.