Arthroscopic subscapularis repair: surgical tips and pearls A to Z.
Arthroscopic subscapularis repair can be technically challenging. This article summarizes a number of technical tips that can greatly simplify and expedite what otherwise might be a daunting surgical procedure. Specific tips and pearls include the following: 1. A description of a new clinical test--the bear-hug test--for detecting subscapularis tears on physical examination. 2. How to accurately place portals for precise subscapularis repair. 3. How to safely and accurately perform a coracoplasty. 4. How to identify and mobilize a retracted subscapularis tear. 5. How the comma sign can be used to simplify arthroscopic subscapularis repair. 6. How to securely repair all sizes of subscapularis tear. 7. A description of postoperative immobilization and rehabilitation to optimize results of arthroscopic subscapularis repair.
Burkhart
Stephen S
SS
Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. ssburkhart@msn.com
Brady
Paul C
PC
D001182:Arthroscopy / Q000379:methods* / Q000592:standards; D006801:Humans; D010808:Physical Examination; D011300:Preoperative Care; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012449:Safety; D013710:Tendons / Q000601:surgery*