Abstract
Rupture of the subscapularis tendon, especially from isolated tears, is a rare finding that was first described by Hauser in 1954.1 This special pathology, its epidemiology, and the clinical and radiological findings were evaluated by Gerber and Krushell in 1991.2 As with many pathologies, it appears to be more and more common as soon as it becomes well known. Lift off and belly press tests should now be part of all physical exams of the shoulder as soon as a rotator cuff tear is suspected. Subscapularis tear may be isolated or associated with posterior superior cuff tear, but symptoms, clinical signs, and natural history are very different. The treatment of subscapularis lesions has been neglected despite studies with satisfying results with open subscapularis repair.3–5
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Hauser ED. Avulsion of the tendon of the subscapularis muscle. J Bone Joint Surg Am 1954;36:139–141.
Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br 1991;73:389–394.
Deutsch A, Altchek DW, Veltri DM, Potter HG, Warren RW. Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment. Am J Sports Med 1997;25:13–22.
Gerber C, Hersche O, Farron A. Isolated rupture of the subscapularis tendon. J Bone Joint Surg Am 1996;78:1015–1023.
Gerber C, Schneeberger AG, Perren SM, Nyffeler RW. Experimental rotator cuff repair. A preliminary study. J Bone Joint Surg Am 1999;81:1281–1290.
Burkhart SS, Tehrany AM. Arthroscopic subscapularis tendon repair: technique and preliminary results. Arthroscopy 2002;18:454–463.
Bennett WF. Arthroscopic repair of massive rotator cuff tears: a prospective cohort with 2-to 4-year follow-up. Arthroscopy 2003;19:380–390.
Walch G, Nove-Josserand L, Boileau P, Levigne C. Subluxations and dislocations of the tendon of the long head of the biceps. J Shoulder Elbow Surg 1998;7:100–108.
Burkhart SS. Shoulder arthroscopy. New concepts. Clin Sports Med 1996;15: 635–653.
Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre-and postoperative evaluation by CT scan. Clin Orthop 1994;304:78–83.
Ticker JB, Warner JJ. Single-tendon tears of the rotator cuff. Evaluation and treatment of subscapularis tears and principles of treatment for supraspinatus tears. Orthop Clin North Am 1997;28:99–116.
Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg 2003;12:550–554.
Nove-Josserand L, et al., [Isolated lesions of the subscapularis muscle. Apropos of 21 cases]. Rev Chir Orthop Reparatrice Appar Mot 1994;80:595–601.
Lafosse L et al. Structural integrity and clinical outcomes after arthroscopic subscapularis repair. J Bone Joint Surg Am. 2007, in press.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Lafosse, L., Gobezie, R. (2008). Arthroscopic Repair of Subscapularis Tears. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_13
Download citation
DOI: https://doi.org/10.1007/978-0-387-39343-8_13
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-39340-7
Online ISBN: 978-0-387-39343-8
eBook Packages: MedicineMedicine (R0)