Subscapularis lengthening in shoulder arthroplasty

被引：6

作者：

Nicholson, Gregory P. ^{[1
]}

Twigg, Stacy ^{[1
]}

Blatz, Brice ^{[1
]}

Sturonas-Brown, Barbara ^{[1
]}

Wilson, Joseph ^{[1
]}

机构：

[1] Rush Univ, Med Ctr, Chicago, IL 60612 USA

来源：

JOURNAL OF SHOULDER AND ELBOW SURGERY | 2010年 / 19卷 / 03期

关键词：

Subscapularis; Lengthening; Arthroplasty; Shoulder; LESSER TUBEROSITY OSTEOTOMY; BIOMECHANICAL EVALUATION; ISOLATED RUPTURE; REPAIR; TENDON; MUSCLE; REPLACEMENT; INSTABILITY;

D O I：

10.1016/j.jse.2009.05.017

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose: To report the technique and outcome of subscapularis (SSC) lengthening in shoulder arthroplasty. Procedure: When external rotation measures less than 20 degrees, a coronal subscapularis lengthening is performed. This utilizes the interval between the anterior shoulder capsule and subscapularis to titrate the correct amount of anatomic length. Results: Average preoperative passive ER was -2 degrees. Average postoperative ER was 48 degrees. Belly press was graded as normal in 13 pts, mild in 12 pts, and poor in 2 pts. Conclusion: Subscapularis tendon lengthening provides a large surface area for tendon healing and allows anatomic length to be restored. Subscapularis lengthening may preserve a better length-tension relationship of the SSC muscle in shoulders with significant IR contracture undergoing shoulder arthroplasty. Level of evidence: III; Case-control study; Treatment study (C) 2010 Journal of Shoulder and Elbow Surgery Board of Trustees.

引用

页码：427 / 433

页数：7

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