Subscapularis Repair

  • Alexander R. Vap
  • David Constantinescu
  • Erik M. Fritz
  • Peter J. Millett


Subscapularis (SSC) tears are commonly found in conjunction with supraspinatus tears; however isolated SSC tears do occur and account for 4–5% of arthroscopically repaired rotator cuff tears (RCTs). Arthroscopic repair of SSC tears is a safe and successful procedure with improved outcomes in shoulder strength, range of motion, and pain as well as low complication rates. Depending on the type of tear, two surgical options exist. An arthroscopic knotless single anchor is sufficient for Fox and Romeo Type I and II tears, while a double-row anchor is required for Fox and Romeo III and IV tears.


Subscapularis Arthroscopy Rotator cuff tear 

Recommended Literature

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    Katthagen JC, Vap AR, Tahal DS, Horan MP, Millett PJ. Arthroscopic repair of isolated partial- and full-thickness upper third subscapularis tendon tears: minimum 2-year outcomes after single-anchor repair and biceps tenodesis. Arthroscopy. 2017;33(7):1286–93. Scholar
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    Vap AR, Katthagen JC, Tahal DS, Horan MP, Fritz EM, Pogorzelski J, Millet PJ. Isolated biceps reflection pulley tears treated with subpectoral biceps tenodesis: minimum 2-year outcomes. Arthroscopy. 2017;33(10):1788–94.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alexander R. Vap
    • 1
  • David Constantinescu
    • 2
  • Erik M. Fritz
    • 3
  • Peter J. Millett
    • 4
  1. 1.Department of Orthopaedics, Division of Sports MedicineVirginia Commonwealth UniversityRichmondUSA
  2. 2.Department of OrthopaedicsVirginia Commonwealth UniversityRichmondUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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