title: Management of the subscapularis tendon during total shoulder arthroplasty.
abstract: Use of total shoulder arthroplasty has significantly increased during the past decade. For anatomic total shoulder arthroplasty, controversy exists regarding the best technique for detachment and repair of the subscapularis tendon. Options include tendon tenotomy, peel, lesser tuberosity osteotomy, and even subscapularis-sparing techniques. Inadequate healing of the subscapularis tendon can lead to postoperative pain, weakness, and instability. This review discusses the subscapularis pathoanatomy, different techniques for releasing and repairing the tendon, and reports biomechanical and clinical outcomes for each technique after total shoulder arthroplasty.
authors.affiliation: Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, MI, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Shields
authors.affiliation: Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, MI, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Ho
authors.affiliation: Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, MI, USA. Electronic address: J.Michael.Wiater@Beaumont.org.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Wiater
mesh_terms: D000072228:Arthroplasty, Replacement, Shoulder / Q000379:methods*; D001696:Biomechanical Phenomena; D006801:Humans; D058430:Humeral Head / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D017006:Rotator Cuff / Q000033:anatomy & histology / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology* / Q000601:surgery*; D058971:Tenotomy / Q000379:methods*
keywords: Shoulder arthroplasty; glenohumeral joint; glenohumeral osteoarthritis; lesser tuberosity osteotomy; subscapularis management; tenotomy