Comparison of total and partial traumatic tears of the subscapularis tendon.

We treated surgically 16 shoulders with an isolated traumatic rupture of the subscapularis tendon over a six-year period. Nine patients had a total and seven a partial tear of the subscapularis tendon. Repair was undertaken through a small deltopectoral groove approach. The mean Constant score improved in total tears from 38.7 to 89.3 points (p = 0.003) and in partial tears from 50.7 to 87.9 points (p = 0.008). The total tears were significantly more improved by surgery than the partial tears (p = 0.001). The delay between trauma and surgery was inversely proportional to the improvement in the Constant score suggesting that early diagnosis and surgical repair improves outcome.

[1]  Tae Kyun Kim,et al.  Partial Tears of the Subscapularis Tendon Found during Arthroscopic Procedures on the Shoulder , 2003, The American journal of sports medicine.

[2]  William F Bennett,et al.  Arthroscopic repair of anterosuperior (supraspinatus/subscapularis) rotator cuff tears: a prospective cohort with 2- to 4-year follow-up. Classification of biceps subluxation/instability. , 2003, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[3]  Stephen S Burkhart,et al.  Arthroscopic subscapularis tendon repair: Technique and preliminary results. , 2002, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[4]  T. Ambacher,et al.  [Ruptures of the subscapular tendon. A diagnostic problem?]. , 2002, Der Unfallchirurg.

[5]  R. Hawkins,et al.  Arthroscopic visualization of the subscapularis tendon. , 2001, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[6]  W. Burkhead,et al.  Technique for repair of the subscapularis tendon. , 2001, The Orthopedic clinics of North America.

[7]  G. Tung,et al.  Subscapularis Tendon Tear: Primary and Associated Signs on MRI , 2001, Journal of computer assisted tomography.

[8]  J. Warner,et al.  Diagnosis and treatment of anterosuperior rotator cuff tears. , 2001, Journal of shoulder and elbow surgery.

[9]  C. Gerber,et al.  Subscapularis tendon tears: detection and grading at MR arthrography. , 1999, Radiology.

[10]  C. Gerber,et al.  Experimental rotator cuff repair. A preliminary study. , 1999, The Journal of bone and joint surgery. American volume.

[11]  C. Gerber,et al.  MR imaging for traumatic tears of the rotator cuff: high prevalence of greater tuberosity fractures and subscapularis tendon tears. , 1999, AJR. American journal of roentgenology.

[12]  H G Potter,et al.  Traumatic Tears of the Subscapularis Tendon , 1997, The American journal of sports medicine.

[13]  J. Warner,et al.  Single-tendon tears of the rotator cuff. Evaluation and treatment of subscapularis tears and principles of treatment for supraspinatus tears. , 1997, The Orthopedic clinics of North America.

[14]  D. C. Schiff.  Traumatic tears of the subscapularis tendon. , 1997, The American journal of sports medicine.

[15]  M. Lazarus,et al.  Practical guidelines to safe surgery about the subscapularis. , 1996, Journal of shoulder and elbow surgery.

[16]  Rhett Mason,et al.  Traumatic Peroneal Tendon Instability , 1996, The American journal of sports medicine.

[17]  Alain Farron,et al.  Isolated Rupture of the Subscapularis Tendon. Results of Operative Repair* , 1996, The Journal of bone and joint surgery. American volume.

[18]  H. Jaroma,et al.  Sonographic detection of tears of the anterior portion of the rotator cuff (subscapularis tendon tears). , 1996, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[19]  A Farron,et al.  Isolated rupture of the subscapularis tendon. , 1996, The Journal of bone and joint surgery. American volume.

[20]  G. Walch,et al.  [Isolated lesions of the subscapularis muscle. Apropos of 21 cases]. , 1994, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur.

[21]  M. Lopez,et al.  Lesions of the subscapular tendon regarding two cases in arthroscopic surgery , 1993 .

[22]  F. Thielemann,et al.  [Isolated injury of the subscapular muscle tendon]. , 1992, Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin.

[23]  C. Gerber,et al.  Isolated rupture of the tendon of the subscapularis muscle clinical features in 16 cases , 1991 .

[24]  L. Peltier,et al.  The Classic: Rupture of the Supraspinatus Tendon , 1990 .

[25]  E. Codman.  Rupture of the supraspinatus tendon , 1990 .

[26]  C. Wynn-Jones,et al.  Displacement of the biceps with subscapularis avulsion. , 1990, The Journal of bone and joint surgery. British volume.

[27]  J. Biondi,et al.  Isolated rupture of the subscapularis tendon in an arm wrestler. , 1988, Orthopedics.

[28]  Dowdy Gs,et al.  Avulsion of the subscapularis tendon. A case report. , 1987 .

[29]  G. Dowd,et al.  Avulsion of the subscapularis tendon. A case report. , 1987, The Journal of bone and joint surgery. American volume.

[30]  E D HAUSER,et al.  Avulsion of the tendon of the subscapularis muscle. , 1954, The Journal of bone and joint surgery. American volume.